ArticleJACC. Case reports2026
Improving Heart Failure Discharge Care Through a Resident-Led Quality Improvement Initiative.
Article in JACC. Case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Authors and funding
6 authors.
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Abstract
backgroundGuideline-directed medical therapy (GDMT) substantially reduces hospitalization and mortality in heart failure (HF), yet 30-day readmission rates remain high. PROJECT RATIONALE: HF readmissions are multifactorial, and not all contributors are modifiable during hospitalization. Residents are well positioned to influence discharge-level care by reinforcing patient education, identifying barriers to GDMT initiation and thereby addressing readmission. PROJECT SUMMARY: A resident-led quality improvement initiative standardized HF discharge education using teach-back methods and incorporated individualized GDMT eligibility review. Among patients receiving resident-led education, the observed 30-day all-cause readmission rate was 11.7%, compared with a hospital-wide baseline rate of 23.0%. Among patients with HF with reduced ejection fraction, 46.2% were discharged on GDMT, most limited by hypotension or acute kidney injury. TAKE-HOME MESSAGE: A resident-led initiative focused on discharge education and GDMT review offers a practical, reproducible, low-resource strategy to address modifiable barriers to optimal therapy and, by extension, readmission.
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