Home
Resource
A comparative analysis of patients with chest pain on and off a clinical decision unit
PDF
PDF format is widely accepted and good for printing.
Plug-in required
PDF-1(788.18 kb)
Citation & Export
View Usage Statistics
Staff View

Citation & Export
Hide

Simple citation

Wesch, Patricia L.. A comparative analysis of patients with chest pain on and off a clinical decision unit. Retrieved from https://doi.org/doi:10.7282/t3-x5zb-x491

Export

Click here for information about Citation Management Tools at Rutgers.

Statistics
Hide

Description

TitleA comparative analysis of patients with chest pain on and off a clinical decision unit
NameWesch, Patricia L. (author); Kamienski, Mary (chair); Rutgers University; School of Nursing - RBHS
Date Created2019
Other Date2019-01 (degree)
SubjectAdult-Gerontology Acute Care Nurse Practitioner, Chest pain, Hospital utilization -- Length of stay
Extent1 online resource (49 pages) : illustrations
DescriptionPurpose: The purpose of this study was to compare the outcomes, specifically length of stay (LOS) for patients with chest pain referred to an outpatient observation clinical decision unit (CDU) co-managed with Nurse Practitioners with an open admission model of care, compared to patients with chest pain referred to outpatient observation services outside of the CDU. Observation medicine is a continuously evolving practice utilized to improve efficiency while decreasing cost. A discharged inpatient that equates to an observation stay yet reimbursed at a higher inpatient rate creates opportunities for recoupment of payments and possible insurance claim denials. Patients with chest pain are a large portion of emergency department visits annually and frequently referred to outpatient observation units. Low-risk chest pain protocols were utilized to provide streamlined expedited care. Nurse Practitioners have an opportunity to decrease the length of stay and improve efficiency. Method: A randomized retrospective chart review was conducted of medical records of patients with chest pain referred to outpatient observation. A descriptive analysis compared patients with chest pain in an observation unit with nurse practitioners to patients with chest pain managed outside of the observation unit. The period was 1 September 2016 and end on 31 August 2017. A total of 128 patients discharged from observation care with a discharge diagnosis of chest pain were analyzed. Conclusions: Mean Length of Stay (LOS) was lower and statistically significant (P-value <0.05) for Clinical Decision Unit (CDU) which utilizes Nurse Practitioner services for managing patients with Chest pain compared to any outside unit. This lower LOS can significantly lower our Health care expenses.
NoteDNP
NoteIncludes bibliographical references
Genretheses, ETD doctoral
Persistent URLhttps://doi.org/doi:10.7282/t3-x5zb-x491
LanguageEnglish
CollectionSchool of Nursing (RBHS) DNP Projects
Organization NameRutgers, The State University of New Jersey
RightsThe author owns the copyright to this work.
Version 8.5.5
Rutgers University Libraries - Copyright ©2024