Hospital checklists cut readmissions Medicare costs

In another win for inhospital checklists new research finds that a simple onepage checklist can keep heart patients out of the hospital as well as save Medicare billions of dollars according to a presentation Saturday at the American College of Cardiologys ACC annual scientific session

After using the 27question checklist before discharge 30day readmissions significantly dropped from 20 percent to 2 percent The checklist focuses on medications and dosage modification counseling and monitoring intervention and followup instructions according to information from the ACC

quotIn addition to lowering 30day and sixmonth readmissions and the associated costs we also showed that more patients in the checklist group were likely to be on correct medications and had appropriate drug doses than patients in the control groupquot study lead investigator Abhijeet Basoor of St Joseph Mercy Oakland Hospital in Pontiac Mich said in a statement

According to the researchers the checklist takes only a few minutes to administer and has no costs or side effects reported USA Today

Meanwhile another ACC study of public hospitals in Brazil found that checklists and colorcoded signals significantly boosted physician adherence to evidencebased treatment for patients with acute coronary syndrome MedPage Today reported

quotIf patient care can be improved when adoption rates are more in the middle range then our results are relevant to rest of world and to the US for diseases other than ACS for which evidencebased medicine uptake is much less commonquot study authors wrote in the Journal of the American Medical Association

Date : 27 Mar, 2012
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