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Same day discharge versus overnight stay in patients undergoing elective percutaneous coronary intervention: a pilot project
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TitleInfo
Title
Same day discharge versus overnight stay in patients undergoing elective percutaneous coronary intervention: a pilot project
Name
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Harulaj
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Adrianna
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Adrianna Harulaj
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author
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Reyes
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Darcel
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Darcel Reyes
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Advisory Committee
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chair
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Rutgers University
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degree grantor
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School of Nursing - RBHS
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school
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theses
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2020
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2020-05
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English
Abstract
(type = abstract)
Purpose of Project:
This pilot project focused on implementing a same day discharge (SDD) protocol after elective percutaneous coronary intervention (PCI) at a hospital in northern New Jersey. The Society of Cardiovascular Angiography and Interventions (SCAI) recommendations supporting SDD as a safe alternative to overnight stay was the basis of this pilot project.
Methodology:
This pilot project aimed to improve the SDD process after elective PCI. Two groups of participants were followed, SDD and overnight stay (ONS), and three outcomes were measured: patient satisfaction, readiness for discharge, and occurrence of adverse cardiovascular events within 30-days of the procedure by telephone. The site was a 255-bed community hospital in northern New Jersey where approximately 1,000 cardiac catheterizations are performed annually.
Results:
Patient Satisfaction: Participants in both groups were satisfied with their overall experience, discharge and medication instruction explanation. However, four participants required additional explanation about the reason for taking anti-platelet medications.
Readiness for Discharge: All participants felt ready for a SDD if given the choice. No participants in the ONS group felt an ONS was necessary.
Adverse Cardiovascular events: There were no participants in either group who experienced adverse cardiovascular events or required further treatment within 30-days of the procedure.
Implications for Practice:
These results impacted clinical practice at the site by testing a SDD protocol that includes a more thorough discharge assessment, but also standardize the way nurses provide medication education to all patients after PCI. Based on patient satisfaction and readiness for discharge results, SDD has the potential to impact the perception of quality care received by patients, promoting satisfaction while not compromising cardiovascular outcomes.
This pilot project focused on implementing a same day discharge (SDD) protocol after elective percutaneous coronary intervention (PCI) at a hospital in northern New Jersey. The Society of Cardiovascular Angiography and Interventions (SCAI) recommendations supporting SDD as a safe alternative to overnight stay was the basis of this pilot project.
Methodology:
This pilot project aimed to improve the SDD process after elective PCI. Two groups of participants were followed, SDD and overnight stay (ONS), and three outcomes were measured: patient satisfaction, readiness for discharge, and occurrence of adverse cardiovascular events within 30-days of the procedure by telephone. The site was a 255-bed community hospital in northern New Jersey where approximately 1,000 cardiac catheterizations are performed annually.
Results:
Patient Satisfaction: Participants in both groups were satisfied with their overall experience, discharge and medication instruction explanation. However, four participants required additional explanation about the reason for taking anti-platelet medications.
Readiness for Discharge: All participants felt ready for a SDD if given the choice. No participants in the ONS group felt an ONS was necessary.
Adverse Cardiovascular events: There were no participants in either group who experienced adverse cardiovascular events or required further treatment within 30-days of the procedure.
Implications for Practice:
These results impacted clinical practice at the site by testing a SDD protocol that includes a more thorough discharge assessment, but also standardize the way nurses provide medication education to all patients after PCI. Based on patient satisfaction and readiness for discharge results, SDD has the potential to impact the perception of quality care received by patients, promoting satisfaction while not compromising cardiovascular outcomes.
Subject
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Topic
Same day discharge
Subject
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Adult-Gerontology Acute Care Nurse Practitioner
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Rutgers University Electronic Theses and Dissertations
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1 online resource (41 pages) : illustrations
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DNP
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Includes bibliographical references
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School of Nursing (RBHS) DNP Projects
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rucore10004500001
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doi:10.7282/t3-xhj3-sq20
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ETD doctoral
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Rights
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The author owns the copyright to this work.
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Name
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Harulaj
GivenName
Adrianna
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Permission or license
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2020-05-09 22:52:47
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Adrianna Harulaj
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Rutgers University. School of Nursing - RBHS
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Author Agreement License
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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.
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Embargo
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2020-05-31
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2099-12-31
Detail
Access to this PDF has been restricted at the author's request.
Copyright
Status
Copyright protected
Availability
Status
Open
Reason
Permission or license
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2020-05-10T02:52:58
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2020-05-10T02:52:58
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