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Reducing Pediatric Readmissions

Using a Discharge Bundle Combined With Teach-back Methodology

Shermont, Herminia MSN, RN, NE-BC; Pignataro, Shelly MSN, RN; Humphrey, Kate MD, MPH, CPS; Bukoye, Bolanle MSPH, CPHQ

doi: 10.1097/NCQ.0000000000000176

The authors describe a quality improvement initiative aimed at decreasing unplanned 7- and 30-day readmission rates in an urban, pediatric, tertiary care hospital. A stepwise approach was used to disseminate the pilot initiative across 16 inpatient units. Use of a teach-back methodology combined with a discharge bundle resulted in an 8% reduction in 7-day readmission and 10% reduction in 30-day readmission over 16 months.

Boston Children's Hospital, Boston, Massachusetts.

Correspondence: Bolanle Bukoye, MSPH, CPHQ, Boston Children's Hospital, Surgical Services, 300 Longwood Ave, 10th floor, Boston, MA 02115 (,

The authors sincerely thank Vincent Chiang, MD, and Gail Hockman, BA, for their contributions and implementation of this initiative.

The authors declare no competing financial interests.

Accepted for publication: December 18, 2015

Published ahead of print: February 3, 2016

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