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Implementing Same Day Discharge Following Percutaneous Coronary Intervention

A Process Evaluation

Chen, Yingyan, MMR, RN; Lin, Frances, PhD, RN; Marshall, Andrea, PhD, RN, FACN, FACCCN

doi: 10.1097/NCQ.0000000000000337
Articles

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.

School 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).

Correspondence: Yingyan Chen, MMR, RN, School of Nursing and Midwifery, Griffith University, Gold Coast Campus, Southport, QLD 4215, Australia (yingyan.chen@griffithuni.edu.au).

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The authors declare no conflicts of interest.

Accepted for publication: March 13, 2018

Published ahead of print: June 14, 2018

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