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Implementing same day discharge following percutaneous coronary intervention: A process evaluation
Journal article   Peer reviewed

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

Yingyan Chen, Frances Lin and Andrea Marshall
Journal of Nursing Care Quality, Vol.34(1), pp.54-60
2019
DOI: https://doi.org/10.1097/NCQ.0000000000000337
url
https://doi.org/10.1097/NCQ.0000000000000337View
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Abstract

day discharge discharge guideline adherence patient satisfaction percutaneous coronary intervention
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.

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