Enhancing Outcomes for Outpatient Percutaneous Coronary Interventions.
Kevin Spruce, Chondra Butler
PMID 28991015WHAT IT FOUND
Outpatient PCI patients had fewer bleeding complications, faster prep, shorter stays and higher satisfaction when nursing staff were moved to preregistration and a dedicated recovery area.
Key findings
01Monthly bleeding complications fell from more than 18% at baseline to 6.54% after the intervention.
02Patient satisfaction rose from 78% to 86.5%, above the 85% goal.
03Preprocedural preparation time fell from a baseline average of 47.3 minutes to 33.8 minutes in the final month, with an aggregate mean of 37.26 minutes over 3 months.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The study had no randomised control group and used a convenience sample. Data were collected retrospectively. The intervention changed staffing, training, space and workflow at the same time, so the contribution of any single component cannot be separated. The postintervention period was short. The new recovery area was not used throughout the project because of nearby construction. Bleeding complications did not show a clear pattern of improvement over time. The analysis did not include femoral sheath size or specific hemostasis technique as variables. Satisfaction scores were aggregate and may reflect general impressions rather than individual experiences. Hospital length of stay was influenced by varying discharge practices and changing procedural volumes.
Declared interests
The authors reported no conflicts of interest.
The easy way to misread this
Do not conclude that any one staffing or training change caused the improvement. The project changed preregistration staffing, recovery staffing, training, space, and workflow at the same time, and it had no control group.