Improving the quality of patient care through multifactorial interventions: a literature review
DOI:
https://doi.org/10.58445/rars.2982Keywords:
Multidisciplinary teams, Interventions, Randomized controlled trials, Visitation hours, Animal therapy, Continuity of care, Post-discharge, Staff communication, Readmission rates, Emotional healthAbstract
This literature review identifies interventions that improve healthcare outcomes. Present healthcare systems have difficulty effectively communicating, resulting in frequent medication errors and staff burnout due to redundant work.
After analyzing a variety of literature reviews, systematic reviews, and randomized controlled trials, research aimed to resolve three key issues: patient and family satisfaction, staff burnout, and readmission rates. An effective intervention in these healthcare systems would mitigate poor healthcare outcomes, such as prolonged hospital stays. The length of patient stay could induce cognitive and physical impairment due to a lack of movement. Common themes identified across studies included staff collaboration, flexible visitation hours, access to outside resources, post-discharge interventions, and lowering readmission rates.
The most effective long-term interventions focused on staff collaboration and care beyond the inpatient stay, as they reduced staff burnout and mental decline after discharge. These interventions will resolve present problems in the healthcare system: evidence reveals that many patients have poor emotional outcomes after hospitalization, as they are impacted by staff burnout, which is correlated with higher rates of errors and poor patient care.
Future research should find interventions that effectively use resources, such as cost. Heavily researched interventions, including communication platforms and post-discharge, show consistent results in effectively mitigating present issues. However, there is limited high-quality evidence that takes into account the use of resources, like cost and burnout.
This literature review will determine effective interventions that showed promising improvements in the satisfaction of patients, family, and hospital staff.
References
Barchas, D., Melaragni, M., Abrahim, H., & Barchas, E. (2020). The best medicine: personal pets and therapy animals in the hospital setting. Critical Care Nursing Clinics of North America. https://doi.org/10.1016/j.cnc.2020.01.002
Brühwiler, L., Beeler, P., Böni, F., Giger, R., Wiedemeier, P., Hersberger, K., & Lutters, M. (2019). A RCT evaluating a pragmatic in-hospital service to increase the quality of discharge prescriptions. International journal for quality in health care: journal of the International Society for Quality in Health Care, 31(8), G74–G80. https://doi.org/10.1093/intqhc/mzz043
Courtney, M., Edwards, H., Chang, A., Parker, A., Finlayson, K., Bradbury, C., & Nielsen, Z. (2011). Improved functional ability and independence in activities of daily living for older adults at high risk of hospital readmission: a randomized controlled trial. Wiley Online Library. https://doi.org/10.1111/j.1365-2753.2010.01547.x
Dragoi, L., Munshi, L., & Herridge, M. (2022). Visitation policies in the ICU and the importance of family presence at the bedside - intensive care medicine. Intensive Care Med 48, 1790–1792. https://doi.org/10.1007/s00134-022-06848-1
Epstein, N. (2015). Multidisciplinary in-hospital teams improve patient outcomes: a review. Surgical Neurology International. 10.4103/2152-7806.139612
Grischott, T., Zechmann, S., Rachamin, Y., Markun, S., Chmiel, C., Senn, O., Rosemann, T., Rodondi, N., & Neuner-Jehle, S. (2018). Improving inappropriate medication and information transfer at hospital discharge: study protocol for a cluster RCT - implementation science. Implementation Sci 13, 155. https://doi.org/10.1186/s13012-018-0839-1
Kim, M., Barnato, A., Angus, D., Fleisher, L., & Kahn, J. (2010). The effect of multidisciplinary care teams on intensive care unit mortality. Arch Intern Med. 2010;170(4):369–376. 10.1001/archinternmed.2009.521
Liu, D., Baumeister, R., Veilleux, J., Chen, C., Liu, W., Yue, Y., & Zhang, S. (2020). Risk factors associated with mental illness in hospital discharged patients infected with covid-19 in Wuhan, China. Psychiatry research, 292, 113297. 10.1016/j.psychres.2020.113297
Nassar Junior, A. P., Bessen, B. A. M. P., Robinson, C. C., Falavigna, M., Teixeira, C., & Rosa, R. G. (2018). Flexible versus restrictive visiting policies in ICUs: a systematic review and meta-analysis. Critical Care Medicine 46(7):p 1175-1180. 10.1097/CCM.0000000000003155
Papazian, L., Hraiech, S., Loundou, A., Herridge, M., & Boyer, L. (2023). High-level burnout in physicians and nurses working in adult ICUs: a systematic review and meta-analysis. Intensive Care Med 49, 387–400. (2023).https://doi.org/10.1007/s00134-023-07025-8
Rosenblatt, A., Pederson, R., Davis-Sandfoss, T., Irwin, L., Mitsos, R., & Manworren, R. (2023). Child life specialist practice and utilization across health care: a scoping review protocol: JBI evidence synthesis. JBI Evidence Synthesis. 10.11124/JBIES-22-00012
Srinivas, V., Choubey, U., Motwani, J., Anamika, F., Chennupati, C., Garg, N., Gupta, V., & Jain, R. (2023). Synergistic strategies: optimizing outcomes through a multidisciplinary approach to clinical rounds. Baylor University Medical Center Proceedings, 37(1), 144–150. https://doi.org/10.1080/08998280.2023.2274230
Tariq, R., Vashisht, R., Sinha, A., & Scherbak, Y. (2024). Medication dispensing errors and prevention. StatPearls. https://www.ncbi.nlm.nih.gov/books/NBK519065/
van der Marck, M., Bloem, B., Borm, G., Overeem, S., Munneke, M., & Guttman, M. (2012). Effectiveness of multidisciplinary care for Parkinson’s disease: a randomized, controlled trial. International Parkinson and Movement Disorder Society. https://doi.org/10.1002/mds.25194
Vatanpour, H., Khorramnia, A., & Forutan, N. (2013). Silo effect a prominence factor to decrease efficiency of pharmaceutical industry. Iranian journal of pharmaceutical research: IJPR, 12(Suppl), 207–216. https://pubmed.ncbi.nlm.nih.gov/24250690/
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