Main Findings : The results indicate that an intervention involving any human factor principles may nearly double an individual ’s probability of not being readmitted .
Principal Conclusions : Interventions with human factor principles reduce readmissions among HF patients .
Background : Human factors play an important role in health-care outcomes of heart failure ( HF ) patients .
A systematic review and meta- analysis of clinical trial studies on HF hospitalization may yield positive proofs of the beneficial effect of specific care management strategies .
Purpose : To investigate how the 8 guiding principles of choice , rest , environment , activity , trust , interpersonal relationships , outlook , and nutrition reduce HF readmissions .
Discharge Education Improves Clinical Outcomes in Patients With Chronic Heart Failure
Background —Although interventions combining patient education and postdischarge management have demonstrated benefits in patients with chronic heart failure , the benefit attributable to patient education alone is not known . We hypothesized that a patient discharge education program would improve clinical outcomes in patients with chronic heart failure . Methods and Results —We conducted a r and omized , controlled trial of 223 systolic heart failure patients and compared the effects of a 1-hour , one-on-one teaching session with a nurse educator to the st and ard discharge process . Subjects were contacted by telephone at 30 , 90 , and 180 days to collect information about clinical events , symptoms , and self-care practice s. The primary end point of the study was the total number of days hospitalized or dead in the 180-day follow-up period . Subjects r and omized to receive the teaching  session  ( n=107 ) had fewer days hospitalized or dead in the follow-up period ( 0 and 10 days , median and 75th percentiles ) than did controls ( n=116 , 4 and 19 days ; P=0.009 ) . Patients receiving the education intervention had a lower risk of rehospitalization or death ( relative risk , 0.65 ; 95 % confidence interval , 0.45 to 0.93 ; P=0.018 ) . Costs of care , including the cost of the intervention , were lower in patients receiving the education intervention than in control subjects by $ 2823 per patient ( P=0.035 ) . Conclusions —The addition of a 1-hour , nurse educator – delivered teaching session at the time of hospital discharge result ed in improved clinical outcomes , increased self-care measure adherence , and reduced cost of care in patients with systolic heart failure
Main Findings : The results indicate that an intervention involving any human factor principles may nearly double an individual ’s probability of not being readmitted .
Principal Conclusions : Interventions with human factor principles reduce readmissions among HF patients .
Background : Human factors play an important role in health-care outcomes of heart failure ( HF ) patients .
A systematic review and meta- analysis of clinical trial studies on HF hospitalization may yield positive proofs of the beneficial effect of specific care management strategies .
Purpose : To investigate how the 8 guiding principles of choice , rest , environment , activity , trust , interpersonal relationships , outlook , and nutrition reduce HF readmissions .