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Implementing Same Day Discharge Following Percutaneous Coronary Intervention: A Process Evaluation
Yingyan Chen1, Frances Lin, Andrea Marshall
1School of Nursing and Midwifery, Griffith University, Southport, Queensland, Australia (Ms Chen and Dr Marshall); Menzies Health Institute Queensland, School of Nursing and Midwifery, Griffith University, Southport, Queensland, Australia (Drs Lin and Marshall); and Nursing and Midwifery Education and Research Unit, Gold Coast Hospital and Health Service, Southport, Queensland, Australia (Dr Marshall).
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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