Post-Heart Transplant Care Pathway's Impact on Reducing Length of Stay.
J Nurs Care Qual
; 36(4): 350-354, 2021.
Article
en En
| MEDLINE
| ID: mdl-33534348
ABSTRACT
BACKGROUND:
Prolonged length of stay (LOS) has undesirable consequences including increased cost, resource consumption, morbidity, and disruptions in hospital flow. LOCALPROBLEM:
A high-volume heart transplant center in the Pacific Northwest had a mean index hospital LOS of 23 days, with a goal of 10 days according to the institutional heart transplant care pathway.METHODS:
A retrospective, regression analysis was used to identify the factors contributing to LOS of 41 post-heart transplant patients.INTERVENTIONS:
The post-heart transplant care pathway and order set were modified accordingly and reintroduced to the health care team.RESULTS:
Factors contributing to LOS included number of days (1) until the first therapeutic calcineurin inhibitor level, (2) until intravenous diuretics were no longer required, and (3) outside of a therapeutic calcineurin inhibitor range. The interventions reduced the mean LOS by 8 days.CONCLUSIONS:
Increased awareness of LOS, education, and consistent use of care pathways can significantly reduce length of stay.
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Trasplante de Corazón
Tipo de estudio:
Guideline
/
Observational_studies
/
Prognostic_studies
Límite:
Humans
Idioma:
En
Revista:
J Nurs Care Qual
Asunto de la revista:
ENFERMAGEM
Año:
2021
Tipo del documento:
Article