Faculty Mentor

Andy Middleton (middleta@ohsu.edu)




Abstract The purpose of this poster is to highlight a Performance Improvement Project (PIP). The PIP addressed a recent increase in hospital readmissions for joint surgery patients related to medication mismanagement post-discharge. The objective was to propose a solution to reduce readmissions through increasing inpatient autonomy. Existing literature and current practice guidelines were reviewed. A standard survey was created and distributed to gather healthcare professionals’ opinions on areas of improvement. Additionally, the European Foundation for Quality Management (EFQM) model was selected to provide a framework for the project. Evidence indicated the self-administration of medication (SAM) could address the aim of increased autonomy, including increasing the patient’s knowledge of medications. Previous SAM research studies have shown an increase in medication adherence. Increased medication adherence has a positive impact on hospital readmission rates. A SAM program proposal was designed as a test of change to be implemented in the virtual acute care orthopedic setting. If proven effective, the SAM program would be implemented hospital-wide. To implement this intervention, the authors recommend a three-leveled system of SAM, supported by an interdisciplinary team during the course of the patient’s hospital stay. Limitations included are the current COVID-19 pandemic, obtaining staff buy-in, and liability concerns.






Western Oregon University Library has determined, as of 05/27/2021, this item is in copyright, which is held by the author. Users may use the item in accordance with copyright limitations and exceptions, including fair use. For other uses, please ask permission from the authors, whose email addresses appear at the top of this page.

Rights Statement URL




Rights Statement

In Copyright

In Copyright. URI: http://rightsstatements.org/vocab/InC/1.0/
This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. For other uses you need to obtain permission from the rights-holder(s).