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 .
Clinical pathways: adherence issues in complex older female patients with heart failure (HF).
HF is a leading health care concern , often under-recognized and under-treated in older women . Management of this complex condition frequently requires a multidisciplinary approach and a clinical pathway can be used to deliver coordinated care . This report is based on the intervention/treatment arm ( n = 45 ) of a r and omized controlled trial in older women who participated in a multidisciplinary clinic . We describe the development of a clinical pathway for HF and the variance reporting including factors affecting adherence with the pathway . Variances are patient or staff actions that did not meet the expected outcomes . Of the 45 intervention arm female patients , 5 were able to fully complete the program , meaning that all of the intended 12 visits were completed successfully . Thirteen women missed more than three clinic visits , and the rest attended most visits . Variance tracking identified that visits were interrupted most often by patient-related health issues , such as fatigue and pain , which may not be surprising given the expected multiple co-morbidities in this population . Transportation problems were identified as a barrier to attendance . Our study demonstrates that a clinical pathway can be implemented in an older , female population with HF . This report identifies some of the challenges and provides future recommendations for prospect i ve pathway development
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 .