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July 21, 2017BMJ Quality & Safety

Reliable adherence to a COPD care bundle mitigates system-level failures and reduces COPD readmissions: a system redesign using improvement science

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Why the study?

Does a COPD care bundle reduce 30-day all-cause readmissions in hospitalized COPD patients?

Population

Patients with chronic obstructive pulmonary disease admitted to an 800-bed academic hospital in Ohio, USA.

Comparison

COPD care bundle consisting of: appropriate… vs Historical care delivery prior to bundle…

Design

Other

Follow-up

30 days

Authors

MZMuhammad Ahsan ZafarRPRalph J. PanosJKJonathan Ko

Discussion

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Overview

Bundle adherence may cut local COPD readmissions; leaves open scalability and efficacy in controlled trials.

Structured PICO

Does a COPD care bundle reduce 30-day all-cause readmissions in hospitalized COPD patients?

P
Population
Patients with chronic obstructive pulmonary disease (COPD) admitted to an 800-bed academic hospital in Ohio, USA.
I
Intervention
COPD care bundle consisting of: (1) appropriate inhaler regimen, (2) 30-day inhaler supply, (3) inhaler education on the device available postdischarge, (4) follow-up within 15 days, and (5) standardised patient-centred discharge instructions.
C
Comparator
Historical care delivery prior to bundle implementation.
O
Outcome
30-day all-cause readmissionshard clinical

Implementation of a comprehensive COPD care bundle addressing system-level failures significantly reduced 30-day all-cause readmissions.

Cite This Study

Zafar et al. (2017) studied this question.

synapsesocial.com/papers/6a72c2cb5d37378ac1df68a0https://doi.org/10.1136/bmjqs-2017-006529
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