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Developing a Same-Day Discharge Clinical Pathway for Patients Undergoing Elective Percutaneous Coronary Intervention
Yingyan Chen1, Jacqueline Peet2, Natalie Hausin3
1School of Nursing and Midwifery, Faculty of Medicine, Nursing and Health Sciences, Monash University, Melbourne, Vic, Australia; School of Health, University of the Sunshine Coast, Sippy Downs, Qld, Australia.
Heart, Lung & Circulation
|November 6, 2025
Summary
A new clinical pathway for same-day discharge after percutaneous coronary intervention was developed with clinicians and patients. This evidence-based pathway improves cardiac service efficiency and patient satisfaction.
Area of Science:
- Cardiology
- Health Services Research
Background:
- Same-day discharge (SDD) after percutaneous coronary intervention (PCI) is increasingly popular but lacks global standardization.
- Existing consensus guidelines for SDD often exclude clinician and patient input.
Purpose of the Study:
- To develop a collaborative, evidence-based clinical pathway for same-day discharge (SDD) following elective percutaneous coronary intervention (PCI).
- To incorporate the perspectives of clinicians, patients, and carers into the SDD decision-making process.
Main Methods:
- A mixed-methods study utilizing the AGREE II instrument for pathway development rigor.
- A hybrid workshop with 15 participants (nurses, medical officers, patients, carer) from six Australian hospitals.
- A modified seven-step nominal group technique and deductive content analysis of transcribed sessions.
Main Results:
- Consensus reached on pre-PCI factors, post-PCI factors, pre-discharge checklist items, and risk management strategies.
- Agreement that the final SDD decision rests with the interventional cardiologist.
- The developed pathway is evidence-based and considers patient and contextual needs.
Conclusions:
- The developed clinical pathway enhances efficiency in cardiac service delivery.
- The pathway improves patient satisfaction by incorporating consumer needs.
- This collaborative approach ensures an evidence-based and contextually relevant SDD strategy.
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