000007989 001__ 7989 000007989 005__ 20250424233309.0 000007989 0247_ $$2DOI$$a10.6083/f1881m566 000007989 037__ $$aETD 000007989 245__ $$aDuration of inpatient observation after transition to oral diuretics: effect on 30-day readmissions for heart failure patients 000007989 260__ $$bOregon Health and Science University 000007989 269__ $$a2020-06-01 000007989 336__ $$aFinal project 000007989 502__ $$bD.N.P. 000007989 520__ $$aHeart failure, the fifth most common cause for hospitalization, is associated with the highest 30-day readmission rate among all diagnoses in the United States. A strong incentive to reduce 30-day readmissions has come from the association between increased mortality and subsequent heart failure readmissions, as well as reimbursement penalties imposed on hospitals in cases of 30-day all-cause readmissions for heart failure patients. This quality improvement project designed to elucidate the utility of this recommendation for local implementation did not find evidence to support the use of a 24-hour cutoff point for inpatient observation of patients with chronic stage C heart failure with reduced left ventricular ejection fraction hospitalized for acute-on-chronic decompensated heart failure. This result should be interpreted with caution given the project's methodological limitations inherent to the observational design and small sample size. 000007989 542__ $$fIn copyright - single owner 000007989 650__ $$aDiuretics$$017965 000007989 650__ $$aObservation$$031580 000007989 650__ $$aHospitalization$$020335 000007989 650__ $$aHeart Failure$$019939 000007989 650__ $$aInpatients$$020846 000007989 6531_ $$atherapy 000007989 691__ $$aSchool of Nursing$$041370 000007989 7001_ $$aSamuel, Nathan D.$$uOregon Health and Science University$$041354 000007989 7201_ $$aMiller, Robin$$uOregon Health and Science University$$041354$$eAdvisor$$7Personal 000007989 8564_ $$95ab48113-f441-4da0-94ce-826b177ebd10$$s199867$$uhttps://digitalcollections.ohsu.edu/record/7989/files/Samuel.Nathan.2020.pdf$$ePublic$$2e902b512189e04f0085a0e387f2e6f80$$31 000007989 905__ $$a/rest/prod/f1/88/1m/56/f1881m566 000007989 909CO $$ooai:digitalcollections.ohsu.edu:7989$$pstudent-work 000007989 980__ $$aTheses and Dissertations