scholarly journals Confronting Challenges in Reducing Heart Failure 30‐Day Readmissions: Lessons Learned With Implications for Evidence‐Based Practice

2018 ◽  
Vol 16 (1) ◽  
pp. 43-50 ◽  
Author(s):  
Racheal L. Wood ◽  
Laurie A. Migliore ◽  
Sandra J. Nasshan ◽  
Sara R. Mirghani ◽  
Annette C. Contasti
Keyword(s):  
Heart Failure ◽  
Evidence Based Practice ◽  
Lessons Learned ◽  
Evidence Based

Academy of Nutrition and Dietetics Evidence-Based Practice Guideline for the Management of Heart Failure in Adults

2018 ◽  
Vol 118 (12) ◽  
pp. 2331-2345 ◽  
Author(s):  
Toni Kuehneman ◽  
Mary Gregory ◽  
Desiree de Waal ◽  
Patricia Davidson ◽  
Rita Frickel ◽  
...  
Keyword(s):  
Heart Failure ◽  
Practice Guideline ◽  
Evidence Based Practice ◽  
Evidence Based ◽  
Nutrition And Dietetics

scholarly journals Implementation of an Evidence-Based Practice Discharge Medication Protocol for Heart Failure Patients to Reduce 30-Day Readmissions

2021 ◽  
Author(s):  
◽  
Dawn Onstott
Keyword(s):  
Heart Failure ◽  
Evidence Based Practice ◽  
Statistical Significance ◽  
Heart Association ◽  
Evidence Based ◽  
Post Intervention ◽  
Healthcare Budget ◽  
Discharge Medication ◽  
Intervention Protocol ◽  
The One

Practice Problem: An estimated 6.5 million American adults ≥20 years of age have heart failure (HF) and worldwide 1 to 2% of the total healthcare budget is spent on HF. To improve outcomes and streamline the treatment of HF patients, The American Heart Association (AHA) joined with the American College of Cardiology (ACC) and created the Get With The Guidelines Program (GWTG). PICOT: The PICOT question that guided this project was in adult HF patients admitted to the cardiovascular unit under the care of the hospitalist service, does implementing an evidence-based practice (EBP) discharge medication protocol for physician use based on the AHA GWTG program’s HF discharge medication protocol, compared to no standardized discharge protocol, improve patients’ 30-day readmission rate, in 12 weeks? Evidence: Evidence from 10 studies supported implementing an evidence-based GDMT tool into a standardized HF discharge medication protocol for this project. Intervention: Education and encouragement of use of the AHA GWTG discharge medication protocol for HF in the electronic health record (EHR) was provided to a group of physicians on a cardiovascular unit. The intervention was over a four-week period and pre- and post-intervention protocol use was observed with specific measures analyzed for observation of improvement. Outcome: The results determined there was minimal statistical significance, however, there was a decrease in the financial measure of the cost of HF readmissions denoting a clinical significance. Conclusion: Continued use of a guideline-based discharge medication protocol, such as the one utilized in this project, is recommended based on the results and evidence provided in this project.

Evidence-Based Practice for Acute Decompensated Heart Failure

2004 ◽  
Vol 24 (6) ◽  
pp. 14-29 ◽  
Author(s):  
Nancy M. Albert ◽  
Cathy A. Eastwood ◽  
Michelle L. Edwards
Keyword(s):  
Heart Failure ◽  
Evidence Based Practice ◽  
Acute Decompensated Heart Failure ◽  
Decompensated Heart Failure ◽  
Evidence Based

Su1835 Improvement in Pancreatectomy Outcomes: Lessons Learned From Applying Evidence-Based Practice

2014 ◽  
Vol 146 (5) ◽  
pp. S-1048
Author(s):  
Iryna Chesnokova ◽  
Benjamin Johnson ◽  
Anna M. Button ◽  
Kelly Petrulevich ◽  
Howe R. James ◽  
...  
Keyword(s):  
Evidence Based Practice ◽  
Lessons Learned ◽  
Evidence Based

Translation to Practice

2008 ◽  
Vol 19 (3) ◽  
pp. 325-332
Author(s):  
Patricia M. Selig ◽  
Walter Lewanowicz
Keyword(s):  
Patient Care ◽  
Professional Growth ◽  
Nursing Practice ◽  
Practice Nurse ◽  
Evidence Based Practice ◽  
Lessons Learned ◽  
Evidence Based ◽  
Pragmatic Approach ◽  
Recruitment Process ◽  
Culture Of Inquiry

Creating a culture of inquiry in which nurses are engaged in the pursuit of the best evidence to support nursing practice ultimately improves patient care and clinical outcomes. So, how do we do that? Implementation of an evidence-based practice nurse internship program has proven to be a key ingredient for success in stimulating critical thinking and subsequent analysis of the evidence behind nursing practice. A pragmatic approach to developing and sustaining an evidence-based practice nurse internship program can be a helpful guide for those who are considering a similar proposition. The recruitment process, education, clinical projects, and lessons learned are detailed in this article as a resource to nursing colleagues in the spirit of professional growth.

Fidelity of supported employment: Lessons learned from the National Evidence-Based Practice Project.

2008 ◽  
Vol 31 (4) ◽  
pp. 300-305 ◽  
Author(s):  
Gary R. Bond ◽  
Gregory J. McHugo ◽  
Deborah R. Becker ◽  
Charles A. Rapp ◽  
Rob Whitley
Keyword(s):  
Supported Employment ◽  
Evidence Based Practice ◽  
Lessons Learned ◽  
Evidence Based
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