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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
Articles

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 (Bola.bukoye@childrens.harvard.edu),

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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