Key result
A facilitated reflective practice intervention for hospitalists resulted in a nonsignificant reduction in the 30-day readmission rate from 16.16% to 14.99% (P=0.76).
Why the study?
Does a facilitated reflective practice intervention including self-review of readmission cases reduce 30-day readmission rates among hospitalists?
Observational
Does a facilitated reflective practice intervention including self-review of readmission cases reduce 30-day readmission rates among hospitalists?
A facilitated reflective practice intervention for hospitalists increased engagement in quality improvement but did not significantly reduce 30-day readmission rates.
No readmission benefit seen; leaves open whether reflective practice aids other quality metrics in larger trials.
BACKGROUND: Reducing 30-day readmissions is a national priority. Although multipronged programs have been shown to reduce readmissions, the role of the individual hospitalist physician in reducing readmissions is not clear. OBJECTIVES: We evaluated the effect of physicians' self-review of their own readmission cases on the 30-day readmission rate. METHODS: Over a 1-year period, hospitalists were sent their individual readmission rates and cases on a weekly basis. They reviewed their cases and completed a data abstraction tool. In addition, a facilitator led small group discussion about common causes of readmission and ways to prevent such readmissions. RESULTS: Our preintervention readmission rate was 16.16% and postintervention was 14.99% (P = .76). Among hospitalists on duty, nearly all participated in scheduled facilitated discussions. Self-review was completed in 67% of the cases. CONCLUSIONS: A facilitated reflective practice intervention increased hospitalist participation and awareness in the mission to reduce readmissions and this intervention resulted in a nonsignificant trend in readmission reduction.
No takes yet. Share an insight, caveat, or question.
Rana et al. (2016) conducted an observational in 30-day hospital readmissions. Physicians' self-review of readmission cases and facilitated small group discussions vs. Preintervention period was evaluated on 30-day readmission rate (p=.76). A facilitated reflective practice intervention for hospitalists resulted in a nonsignificant reduction in the 30-day readmission rate from 16.16% to 14.99% (P=0.76).
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: