Development of a patient-centred, evidence-based and consensus-based discharge care bundle for patients with acute exacerbation of chronic obstructive pulmonary disease

BMJ Open Respiratory Research
Maria B OspinaMichael K Stickland

Abstract

Hospital and emergency department discharge for patients with chronic obstructive pulmonary disease (COPD) is often poorly organised. We developed a patient-centred, evidence-based and consensus-based discharge care bundle for patients with acute exacerbations of COPD. A purposeful sample of clinicians and patients were invited to participate in a two-round Delphi study (July-November 2015). In round 1, participants rated on a seven-point Likert scale (1=not at all important; 7=extremely important) the importance of 29 unique COPD care actions. Round 2 comprised items selected from round 1 based on consensus (>80% endorsement for Likert values 5-7). A list of 18 care items from round 2 was discussed in a face-to-face nominal group meeting. Seven care items were included in the COPD discharge bundle based on clinician and patient input: (1) ensure adequate inhaler technique is demonstrated; (2) send discharge summary to family physician and arrange follow-up; (3) optimise and reconcile prescription of respiratory medications; (4) provide a written discharge management plan and assess patient's and caregiver's comprehension of discharge instructions; (5) refer to pulmonary rehabilitation; (6) screen for frailty and comorbidities;...Continue Reading

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Citations

Aug 9, 2018·Medical Sciences : Open Access Journal·Elisenda Gómez-Angelats, Carolina Sánchez
Aug 3, 2020·Current Opinion in Supportive and Palliative Care·Lisa Jane BrightonMatthew Maddocks
Oct 9, 2019·International Journal of Environmental Research and Public Health·Hannah M L YoungSimon Conroy
Oct 17, 2020·International Journal of Chronic Obstructive Pulmonary Disease·Lotte F WestbroekUNKNOWN LAN COPD Care Pathway Study Group
Oct 29, 2021·Stroke; a Journal of Cerebral Circulation·Joel SteinUNKNOWN Northeast Cerebrovascular Consortium Stroke Rehabilitation and Recovery Delphi Study Group*

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Clinical Trials Mentioned

NCT03358771

Software Mentioned

SPSS
Delphi
Predictive Analysis Software Statistics for Mac PASWV
Research Electronic Data Capture

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