Abstract NS11: Missed Opportunities: Closing the Loop
In a Comprehensive Stroke Center, which admits 1200-1300 stroke patients annually, patients are leaving sooner due to many factors, including insurance and financial constraints. Many patients are admitted over the weekend and holidays and 15 to 20 % of all patients are admitted to a non-neurological floor, which resulted in no stroke education being completed. Some patients were not identified as strokes until the day of discharge, also resulting in no stroke education.
The purpose of this project was to ensure all patients discharged received comprehensive stroke education and that regardless of where the patient was in the facility, education was completed either during the hospitalization or post discharge.
A lean evaluation was performed to identify successes and missed opportunities. As a result, several initiatives were implemented. Tip sheets were designed outlining step by step the stroke education that is required and also included the stroke coordinators contact information. This was disseminated throughout the entire facility. Special float pool and float pool nurses were given stroke education, as they staff all through the facility. Stroke Coordinators review all stroke admissions every day and identify those who did not receive the required education, and then phone contact is made. Stroke education is reviewed in depth and stroke materials are mailed out to the patient. In the event the patient is unavailable, this education is done with a family member/significant other. This process is followed regardless of the patient’s discharge disposition.
In conclusion, our 7 day phone follow up post discharge indicated that the satisfaction with stroke education went from 40% to 95% within a 6 month period. The missed opportunities dropped from an average of 20 a month to 0, especially with the follow up by the Stroke Coordinators to ensure that stroke education was completed.
Author Disclosures: J. Burns: None. R. Donelly: None. C. Thomas: None. A. Shoemake: None.
- © 2015 by American Heart Association, Inc.