Abstract
There is a national movement to create improvements in patient safety and outcomes due to evolutionary changes in the healthcare. Many health care organizations are using the framework of a culture of safety in order to create a reliable and stable work environment that emphasizes safety and improves patient outcomes. Patient throughput, defined as the active management of the supply of patient beds (rooms for occupation) to the demand of patients to beds and the length of time it takes for this action to occur, has been identified as one of the areas in need of improvement. This study considered if the use of an interdisciplinary team to execute patient rounds improves patient throughput, helping to expedite the patient discharge process while decreasing needless readmissions to the health care organization. A quantitative longitudinal retrospective data analysis of time stamps obtained from the electronic health record was examined to determine what impact interdisciplinary rounds had on patient throughput. It was determined that a discrepancy existed between the actual planning of a patient's discharge and the execution of the discharge, which contributed to unwanted readmissions to the health care organization. A secondary factor affecting the readmission rate was excluding the patient as a member of the interdisciplinary team. The social significance of the research is how health care organizations engage patients, empowering patients to actively participate in their own care including them in the decision-making process that affects patient care and improves outcomes.
Sigma Membership
Phi Nu
Type
Dissertation
Format Type
Text-based Document
Study Design/Type
Quality Improvement
Research Approach
Quantitative Research
Keywords:
Safety Culture, Patient Throughput, Interdisciplinary Cooperation
Advisor
Allison Terry
Degree
DNP
Degree Grantor
Walden University
Degree Year
2015
Recommended Citation
Dillon, Laurie Lee Dawn, "The effect of a culture of safety on patient throughput" (2021). Dissertations. 1249.
https://www.sigmarepository.org/dissertations/1249
Rights Holder
All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.
All permission requests should be directed accordingly and not to the Sigma Repository.
All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.
Review Type
None: Degree-based Submission
Acquisition
Proxy-submission
Date of Issue
2021-04-02
Full Text of Presentation
wf_yes
Description
This dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 3732875; ProQuest document ID: 1731254038. The author still retains copyright.