Implementing same day discharge following percutaneous coronary intervention: A process evaluation

Yingyan Chen, Frances Lin, Andrea Marshall

Research output: Contribution to journalArticlepeer-review

4 Citations (Scopus)

Abstract

Background: The safety and effectiveness of same day discharge (SDD) following percutaneous coronary intervention are well demonstrated; however, the uptake of this model of care is low. Purpose: The aim was to examine the effectiveness of implementing SDD using a process evaluation methodology. Methods: This study was undertaken in a cardiac services department of a tertiary teaching hospital in southeast Queensland, Australia. It was anticipated before the implementation that 120 patients could be discharged the same day in a 6 months' time period. Patient selection process and guideline adherence were assessed along with patients' and relatives' satisfaction. Results: During implementation, 22 patients were discharged home the same day. It was found that staff did not follow the guideline consistently, with an overall adherence of 77.3%. Conclusion: The uptake of SDD was low in this implementation. The study is important as it provides direction for future improvement both in the criteria and the implementation process.

Original languageEnglish
Pages (from-to)54-60
Number of pages7
JournalJOURNAL OF NURSING CARE QUALITY
Volume34
Issue number1
DOIs
Publication statusPublished - Jan 2019
Externally publishedYes

Keywords

  • day discharge
  • discharge
  • guideline adherence
  • patient satisfaction
  • percutaneous coronary intervention

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