This quality improvement initiative aims to evaluate the implementation, utilization, and impact of virtual care technologies and workflows being implemented at Duke University Health System (DUHS). This project is embedded within operational workflows and is designed to inform strategic decision-making and resource allocation. The evaluation will focus on key performance indicators (KPIs) relevant to hospital operations and patient outcomes, including but not limited to: Length of Stay, Readmission Rates, Patient Satisfaction Scores, and Other Quality and Safety Metrics. These KPIs will be evaluated across three clinical units at Duke University Hospital, in which virtual care technologies are being implemented. These will be compared to three control units of similar characteristics. Differences in KPIs will be examined across all units over 12 months.
Study Type
OBSERVATIONAL
Enrollment
10,000
Patient care delivered together with a bedside nurse and a virtual nurse
Duke University Hospital
Durham, North Carolina, United States
Falls
Number of patient falls in a hospital room
Time frame: 12 months
Readmission rates
Rate of readmission to the hospital after discharge
Time frame: 12 months
Central Line-Associated Bloodstream Infection
Number of Central Line-Associated Bloodstream Infections
Time frame: 12 months
Hospital acquired pressure injury
Number of hospital acquired pressure injuries
Time frame: 12 months
Venous thromboembolism
Number of venous thromboembolisms
Time frame: 12 months
Nurse Turnover
Rate of nurse turnover over time
Time frame: 12 months
Patient Satisfaction Questionnaire (PSQ-18)
The PSQ is an 18-item survey designed for quick assessment of patient satisfaction with healthcare. Each item is scored on a Likert scale of 1 to 5 and has a total score range of 18 to 90, where a higher score indicates greater satisfaction.
Time frame: 12 months
Length of Stay
Average length of stay
Time frame: 12 months
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