PT - JOURNAL ARTICLE AU - Bhupinder Mann AU - Essam Ramhamadany AU - Leonel Flores AU - Almie Mngadi AU - Leny Eapen AU - Haidee Venturina AU - Sandra Wilson AU - Muhammad Pasha AU - Robert Tidswell TI - Sustaining a chronic obstructive pulmonary disease (COPD) discharge care bundle on the respiratory ward in an acute district general hospital DP - 2012 Sep 01 TA - European Respiratory Journal PG - P2900 VI - 40 IP - Suppl 56 4099 - http://erj.ersjournals.com/content/40/Suppl_56/P2900.short 4100 - http://erj.ersjournals.com/content/40/Suppl_56/P2900.full SO - Eur Respir J2012 Sep 01; 40 AB - A COPD discharge care bundle was previously piloted on the respiratory ward at our hospital in May 2010. At 1 year there were significant improvements in patient care and a reduction in 28 day COPD readmission rate from 25% to 18.4% (p=0.06).ObjectiveTo look at the current level of sustainability of the bundle, and to assess patient and staff experience. In addition, we implemented the bundle on our medical day unit (MAU).MethodsTo maintain sustainability, a programme of regular education and training was provided. Patient experience was assessed by the response of 40 patients to a telephone call post discharge, and ward staff (n=21) completed a questionnaire.ResultsCompliance with the bundle on the respiratory ward from May 2010 to January 2012 (21 months) has remained high at 99%. Compliance with all 4 elements of the bundle was 93%. Improvement in patient care continues to remain significantly higher than baseline. The 28 day COPD readmission rate is currently 18%.85% of patients found the bundle useful or very useful. In the staff survey, 81% of staff thought that the bundle improved patient care and 71% found it easy to complete. 67% said that it improved their knowledge and skills about COPD, while 24% were unsure. 95% felt it should be carried out on other wards.Compliance on the MAU was disappointing at 24% over the last 6 months. Reasons for poor compliance included a change in the MAU bed model, low nursing numbers and high patient turnover.ConclusionThe improvement in patient care using the COPD bundle is sustainable on a specialist ward. Patient and staff experience was positive. Roll out on the MAU remains a challenge.