KUKU

KU ScholarWorks

  • myKU
  • Email
  • Enroll & Pay
  • KU Directory
    • Login
    View Item 
    •   KU ScholarWorks
    • Dissertations and Theses
    • Dissertations
    • View Item
    •   KU ScholarWorks
    • Dissertations and Theses
    • Dissertations
    • View Item
    JavaScript is disabled for your browser. Some features of this site may not work without it.

    Exploring the Impact of an Elective Joint Replacement Care Pathway in a Safety-Net Hospital: Ongoing Quality Improvement

    Thumbnail
    View/Open
    ToyneBarfoot_ku_0099D_16375_DATA_1.pdf (730.6Kb)
    Issue Date
    2019-05-31
    Author
    Toyne-Barfoot, Brigid Kerry
    Publisher
    University of Kansas
    Format
    48 pages
    Type
    Dissertation
    Degree Level
    D.N.P.
    Discipline
    Nursing
    Rights
    Copyright held by the author.
    Metadata
    Show full item record
    Abstract
    One of the innovative ways that organizations have tried to bridge the gap between quality and cost is with the implementation of care pathways. Truman Medical Center (TMC), a safety-net hospital, has implemented a multidisciplinary care pathway for patients undergoing an elective joint replacement in an effort to increase quality and control cost. The pathway, developed by a multidisciplinary team, addresses care of elective joint replacement patients through the continuum of care. The purpose of this ongoing quality project was to explore the impact of the implementation of an elective joint replacement pathway on quality outcomes and the nurses perceptions of the benefits and challenges associated with the care pathway implementation. The three study questions for this ongoing quality improvement project were: (1) does the implementation of a care pathway decrease length of stay for patients undergoing an elective joint replacement? (2) Does the implementation of a care pathway decreases readmission rates post elective joint replacement surgery? and (3) What are staff perceptions regarding the benefits and challenges of the implementation of the elective joint replacement care pathway? This quality improvement project obtained data in two ways. The first was a review of available agency outcomes data. The second was a survey of nursing staff on the orthopedic nursing unit. All data collected was organized and evaluated by the primary author. The assumptions were that both length of stay and readmission rates would decrease with implementation of a care pathway. The findings of this ongoing quality improvement project will help to determine if further study is needed on this topic of interest.
    URI
    http://hdl.handle.net/1808/29532
    Collections
    • Dissertations [4475]
    • KU Med Center Dissertations and Theses [464]

    Items in KU ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.


    We want to hear from you! Please share your stories about how Open Access to this item benefits YOU.


    Contact KU ScholarWorks
    785-864-8983
    KU Libraries
    1425 Jayhawk Blvd
    Lawrence, KS 66045
    785-864-8983

    KU Libraries
    1425 Jayhawk Blvd
    Lawrence, KS 66045
    Image Credits
     

     

    Browse

    All of KU ScholarWorksCommunities & CollectionsThis Collection

    My Account

    LoginRegister

    Statistics

    View Usage Statistics

    Contact KU ScholarWorks
    785-864-8983
    KU Libraries
    1425 Jayhawk Blvd
    Lawrence, KS 66045
    785-864-8983

    KU Libraries
    1425 Jayhawk Blvd
    Lawrence, KS 66045
    Image Credits
     

     

    The University of Kansas
      Contact KU ScholarWorks
    Lawrence, KS | Maps
     
    • Academics
    • Admission
    • Alumni
    • Athletics
    • Campuses
    • Giving
    • Jobs

    The University of Kansas prohibits discrimination on the basis of race, color, ethnicity, religion, sex, national origin, age, ancestry, disability, status as a veteran, sexual orientation, marital status, parental status, gender identity, gender expression and genetic information in the University’s programs and activities. The following person has been designated to handle inquiries regarding the non-discrimination policies: Director of the Office of Institutional Opportunity and Access, IOA@ku.edu, 1246 W. Campus Road, Room 153A, Lawrence, KS, 66045, (785)864-6414, 711 TTY.

     Contact KU
    Lawrence, KS | Maps