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Length of Hospital Stay After Percutaneous Coronary Interventions
- Source :
- Journal of Cardiovascular Nursing. 23:345-348
- Publication Year :
- 2008
- Publisher :
- Ovid Technologies (Wolters Kluwer Health), 2008.
-
Abstract
- Introduction and aim Post-percutaneous coronary intervention (PCI) length of hospital stay (LOHS) is one of the key modifiers of hospital cost and quality assessment. Commencing 2000, the cardiovascular services at our institution engaged in a continuous quality improvement program to reduce post-PCI LOHS. Methods All PCI patients were screened for potential early discharge. An expedited discharge protocol was applied to all suitable patients. Length of hospital stay and other outcomes were monitored daily. Data were compiled and reported monthly and quarterly by an independent chart review and data analysis team. Results Over the study period, PCI volume increased 4-fold. Annually, 61.8% to 78.4% of the patients were rendered suitable for abbreviated LOHS. Timely discharge of suitable candidates gradually improved from 77.6% (n = 116) discharged within 48 hours in 2000 to 95% (n = 480) discharged within 30 hours in 2006. Conclusion With the appropriate continuous quality improvement program, 30-hour post-PCI discharge is feasible in more than 95% of suitable cases.
- Subjects :
- Male
medicine.medical_specialty
Time Factors
Quality management
Percutaneous
medicine.medical_treatment
Perioperative Care
Hospitals, University
Hospitals, Urban
Patient satisfaction
Cost Savings
Angioplasty
Outcome Assessment, Health Care
Humans
Medicine
Nurse Practitioners
Angioplasty, Balloon, Coronary
Hospital Costs
Early discharge
Advanced and Specialized Nursing
New Jersey
business.industry
Health services research
Percutaneous coronary intervention
Length of Stay
Middle Aged
Patient Discharge
Nursing Evaluation Research
Patient Satisfaction
Emergency medicine
Conventional PCI
Feasibility Studies
Female
Health Services Research
Cardiology and Cardiovascular Medicine
business
Case Management
Program Evaluation
Total Quality Management
Subjects
Details
- ISSN :
- 08894655
- Volume :
- 23
- Database :
- OpenAIRE
- Journal :
- Journal of Cardiovascular Nursing
- Accession number :
- edsair.doi.dedup.....517722645bf7a3fe755a284438b1db50