Dataset Information

Improving recovery time following heart transplantation: the role of the multidisciplinary health care team.

ABSTRACT:

Background

The care of cardiac transplant patients is complex requiring a finely orchestrated endeavor to save a patient's life. Given the chronic and complex nature of these patients, multiple disciplines are involved in their care. Recognizing difficulties with communication among team members and striving for improved efficiencies in our pretransplant listing process and in our inpatient care, our team was prompted to change the existing approach to patient care related to heart transplantation.

Methods

Daily multidisciplinary rounds were instituted and the format of the weekly Multidisciplinary Review Committee (MDRC) meetings was modified with the list of attendees broadened to include a larger interdisciplinary team. Additionally, the approach to patient care was analyzed for process improvement.

Results

The quality improvements are improved communication and throughput, quantified in an 85% decrease in time to complete transplant evaluation, a 37% decrease in median length of stay posttransplantation, and a 33% reduction in the 30 day readmission rate. In addition, pre- and posttransplant caregivers now participate in MDRC in person or via an electronic meeting platform to support the continuum of care. Quality metrics were chosen and tracked via a transparent electronic platform allowing all involved to assess progress toward agreed upon goals. These were achieved in an 18 month time period following the recruitment of new leadership and invested team members working together as a multidisciplinary team to improve the quality of cardiac transplant care.

Discussion

Implementation of daily multidisciplinary rounds and expansion of the attendees for the MDRC meetings improved care related to heart transplantation.

SUBMITTER: Roussel MG

PROVIDER: S-EPMC3758220 | biostudies-literature | 2013 Aug

REPOSITORIES: biostudies-literature

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Publications

Improving recovery time following heart transplantation: the role of the multidisciplinary health care team.

Roussel Maureen G MG Gorham Noreen N Wilson Lynn L Mangi Abeel A AA

Journal of multidisciplinary healthcare 20130822

<h4>Background</h4>The care of cardiac transplant patients is complex requiring a finely orchestrated endeavor to save a patient's life. Given the chronic and complex nature of these patients, multiple disciplines are involved in their care. Recognizing difficulties with communication among team members and striving for improved efficiencies in our pretransplant listing process and in our inpatient care, our team was prompted to change the existing approach to patient care related to heart trans ...[more]

PMID: 24009423

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Dataset Information

Improving recovery time following heart transplantation: the role of the multidisciplinary health care team.

Background

Methods

Results

Discussion

Publications

Improving recovery time following heart transplantation: the role of the multidisciplinary health care team.

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