Please use this identifier to cite or link to this item:

Reducing Patient Emergency Department Visits at A Local Community Health Center

File Size Format  
ACERET hawii 0085A 10190.pdf 1.26 MB Adobe PDF View/Open

Item Summary

Title:Reducing Patient Emergency Department Visits at A Local Community Health Center
Contributors:Albright, Cheryl (advisor)
Nursing (department)
Health education
community health centers
frequent ED utilizers
show 1 morereduction in ED visits
show less
Date Issued:2019
Publisher:University of Hawai'i at Manoa
Abstract:Repeated inappropriate and non-urgent emergency department (ED) visits can lead patients to diminishing quality of life. The lack of initiative for a health center to implement strategies encouraging patients to seek follow-up care for their symptoms with their patient care providers (PCPs), increases the risk for fragmented care. The aim of this Doctoral in Nursing Practice (DNP) quality improvement (QI) project was to implement evidence-based (EB) practice interventions with the multidisciplinary staff algorithm for repeated ED visits and the wallet-sized patient information flyers, in reducing frequent ED visits at Kalihi- Pālama Health Center (KPHC). The Stetler Model framework was utilized for this project. The interventions were implemented from November 2018 to January 2019 at KPHC. Four care coordinators (CCs) participated in an education program discussing the approach for frequent utilizers of the Queens Medical Center (QMC) ED with ≥ three visits in the past six months, who were coming in for follow-up care to KPHC post-discharge from the ED. Three of four CCs were involved in the implementation period, passing out wallet-sized information cards and simultaneously utilizing the KPHC education program algorithm as a guide, to manage patient care. Two of the 10 total patients assigned to the three CCs were able to be reached and received the wallet information cards. They followed-up for self- care management of their symptoms throughout the implementation period at KPHC. Results revealed that a 100% of the two individuals involved in the project stopped going to the ED in the two -month period and yielded a 20% decrease in repeat ED visits.
Description:D.N.P. Thesis. Ph.D. Thesis. University of Hawaiʻi at Mānoa 2019
Pages/Duration:50 pages
Rights:All UHM dissertations and theses are protected by copyright. They may be viewed from this source for any purpose, but reproduction or distribution in any format is prohibited without written permission from the copyright owner.
Appears in Collections: D.N.P. - Nursing Practice

Please email if you need this content in ADA-compliant format.

Items in ScholarSpace are protected by copyright, with all rights reserved, unless otherwise indicated.