JACC. Case reports · 2026
Improving Heart Failure Discharge Care Through a Resident-Led Quality Improvement Initiative.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
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Singtong Boone, Chattha Sharnvir S, Aboujaoude Chris, Pathiranage Tharindra S, Farrukh Fiza, Shah Pinak A
Аннотация
BACKGROUND: Guideline-directed medical therapy (GDMT) substantially reduces hospitalization and mortality in heart failure (HF), yet 30-day readmission rates remain high.
PROJECT RATIONALE: HF readmissions are multifactorial, and not all contributors are modifiable during hospitalization. Residents are well positioned to influence discharge-level care by reinforcing patient education, identifying barriers to GDMT initiation and thereby addressing readmission.
PROJECT SUMMARY: A resident-led quality improvement initiative standardized HF discharge education using teach-back methods and incorporated individualized GDMT eligibility review. Among patients receiving resident-led education, the observed 30-day all-cause readmission rate was 11.7%, compared with a hospital-wide baseline rate of 23.0%. Among patients with HF with reduced ejection fraction, 46.2% were discharged on GDMT, most limited by hypotension or acute kidney injury.
TAKE-HOME MESSAGE: A resident-led initiative focused on discharge education and GDMT review offers a practical, reproducible, low-resource strategy to address modifiable barriers to optimal therapy and, by extension, readmission.
PROJECT RATIONALE: HF readmissions are multifactorial, and not all contributors are modifiable during hospitalization. Residents are well positioned to influence discharge-level care by reinforcing patient education, identifying barriers to GDMT initiation and thereby addressing readmission.
PROJECT SUMMARY: A resident-led quality improvement initiative standardized HF discharge education using teach-back methods and incorporated individualized GDMT eligibility review. Among patients receiving resident-led education, the observed 30-day all-cause readmission rate was 11.7%, compared with a hospital-wide baseline rate of 23.0%. Among patients with HF with reduced ejection fraction, 46.2% were discharged on GDMT, most limited by hypotension or acute kidney injury.
TAKE-HOME MESSAGE: A resident-led initiative focused on discharge education and GDMT review offers a practical, reproducible, low-resource strategy to address modifiable barriers to optimal therapy and, by extension, readmission.