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A comparative analysis of patients with chest pain on and off a clinical decision unit
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Descriptive

TitleInfo
Title
A comparative analysis of patients with chest pain on and off a clinical decision unit
TitleInfo (type = alternative)
Title
A comparative analysis of patients with chest pain
Name (type = personal)
NamePart (type = family)
Wesch
NamePart (type = given)
Patricia L.
NamePart (type = date)
1968-
DisplayForm
Patricia L. Wesch
Role
RoleTerm (authority = RULIB)
author
Name (type = personal)
NamePart (type = family)
Kamienski
NamePart (type = given)
Mary
DisplayForm
Mary Kamienski
Affiliation
Advisory Committee
Role
RoleTerm (authority = RULIB)
chair
Name (type = corporate)
NamePart
Rutgers University
Role
RoleTerm (authority = RULIB)
degree grantor
Name (type = corporate)
NamePart
School of Nursing - RBHS
Role
RoleTerm (authority = RULIB)
school
TypeOfResource
Text
Genre (authority = marcgt)
theses
OriginInfo
DateCreated (qualifier = exact)
2019
DateOther (qualifier = exact); (type = degree)
2019-01
CopyrightDate (encoding = w3cdtf); (qualifier = exact)
2018
Language
LanguageTerm (authority = ISO 639-3:2007); (type = text)
English
Abstract (type = abstract)
Purpose: 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.
Subject (authority = RUETD)
Topic
Adult-Gerontology Acute Care Nurse Practitioner
Subject (authority = ETD-LCSH)
Topic
Chest pain
Subject (authority = ETD-LCSH)
Topic
Hospital utilization -- Length of stay
RelatedItem (type = host)
TitleInfo
Title
Rutgers University Electronic Theses and Dissertations
Identifier (type = RULIB)
ETD
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TitleInfo
Title
School of Nursing (RBHS) DNP Projects
Identifier (type = local)
rucore10004500001
Identifier
ETD_9572
Identifier (type = doi)
doi:10.7282/t3-x5zb-x491
PhysicalDescription
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application/pdf
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text/xml
Extent
1 online resource (49 pages) : illustrations
Note (type = degree)
DNP
Note (type = bibliography)
Includes bibliographical references
Location
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NjNbRU
Genre (authority = ExL-Esploro)
ETD doctoral
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Rights

RightsDeclaration (ID = rulibRdec0006)
The author owns the copyright to this work.
RightsHolder (type = personal)
Name
FamilyName
Wesch
GivenName
Patricia
MiddleName
L.
Role
Copyright Holder
RightsEvent
Type
Permission or license
DateTime (encoding = w3cdtf); (qualifier = exact); (point = start)
2019-03-06 17:09:08
AssociatedEntity
Name
Patricia L. Wesch
Role
Copyright holder
Affiliation
Rutgers University. School of Nursing - RBHS
AssociatedObject
Type
License
Name
Author Agreement License
Detail
I hereby grant to the Rutgers University Libraries and to my school the non-exclusive right to archive, reproduce and distribute my thesis or dissertation, in whole or in part, and/or my abstract, in whole or in part, in and from an electronic format, subject to the release date subsequently stipulated in this submittal form and approved by my school. I represent and stipulate that the thesis or dissertation and its abstract are my original work, that they do not infringe or violate any rights of others, and that I make these grants as the sole owner of the rights to my thesis or dissertation and its abstract. I represent that I have obtained written permissions, when necessary, from the owner(s) of each third party copyrighted matter to be included in my thesis or dissertation and will supply copies of such upon request by my school. I acknowledge that RU ETD and my school will not distribute my thesis or dissertation or its abstract if, in their reasonable judgment, they believe all such rights have not been secured. I acknowledge that I retain ownership rights to the copyright of my work. I also retain the right to use all or part of this thesis or dissertation in future works, such as articles or books.
RightsEvent
Type
Embargo
DateTime (encoding = w3cdtf); (qualifier = exact); (point = start)
2019-01-31
DateTime (encoding = w3cdtf); (qualifier = exact); (point = end)
2021-01-30
Detail
Access to this PDF has been restricted at the author's request. It will be publicly available after January 30th, 2021.
Copyright
Status
Copyright protected
Availability
Status
Open
Reason
Permission or license
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Technical

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ETD
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windows xp
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1.7
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2019-02-22T17:12:03
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2019-04-24T13:19:15
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Microsoft® Word 2013
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