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Using a Chest Pain Pathway Tool to Reduce the Length of Stay.
紀錄類型:
書目-語言資料,手稿 : Monograph/item
正題名/作者:
Using a Chest Pain Pathway Tool to Reduce the Length of Stay./
作者:
Bowen, Colandra Yvette.
面頁冊數:
1 online resource (127 pages)
附註:
Source: Dissertations Abstracts International, Volume: 85-05, Section: B.
Contained By:
Dissertations Abstracts International85-05B.
標題:
Public health. -
電子資源:
click for full text (PQDT)
ISBN:
9798380845212
Using a Chest Pain Pathway Tool to Reduce the Length of Stay.
Bowen, Colandra Yvette.
Using a Chest Pain Pathway Tool to Reduce the Length of Stay.
- 1 online resource (127 pages)
Source: Dissertations Abstracts International, Volume: 85-05, Section: B.
Thesis (D.N.P.)--Grand Canyon University, 2024.
Includes bibliographical references
Chest pain due to non-life-threatening etiology may lead to unnecessary hospital admissions and extended length of stay (LOS). At the project site, there was no systematic process for the discharge of patients with chest pain, so an evidence-based solution was sought. The purpose of this quality improvement project was to determine if the translation of Frisoli et al.'s research on the HEART pathway tool would impact LOS among adult patients with chest pain. The project was piloted over an eight-week period in an urban North Carolina emergency department. Dorothea Orem's self-care deficit theory and John Kotter's eight-step change model provided the scientific underpinnings for the project. Data were collected from the electronic health record. A sample of 627 patients was included, with n = 504 in the comparative group and n = 123 in the implementation group. An independent samples t-test was used to compare the LOS between the comparative and implementation groups [t (624) = 1.20, p = .115]. However, a clinically significant mean decrease of 56.1 minutes was measured after implementing the HEART Pathway tool. Based on the results, the translation of Frisoli et al.'s research using the HEART pathway may reduce LOS in this population. Recommendations include sustaining the project at the project site with a larger sample over a longer period of time and disseminating the results.
Electronic reproduction.
Ann Arbor, Mich. :
ProQuest,
2024
Mode of access: World Wide Web
ISBN: 9798380845212Subjects--Topical Terms:
560998
Public health.
Subjects--Index Terms:
Chest painIndex Terms--Genre/Form:
554714
Electronic books.
Using a Chest Pain Pathway Tool to Reduce the Length of Stay.
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Source: Dissertations Abstracts International, Volume: 85-05, Section: B.
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Advisor: Mulkey, David;Goff, Sandy H.
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Includes bibliographical references
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Chest pain due to non-life-threatening etiology may lead to unnecessary hospital admissions and extended length of stay (LOS). At the project site, there was no systematic process for the discharge of patients with chest pain, so an evidence-based solution was sought. The purpose of this quality improvement project was to determine if the translation of Frisoli et al.'s research on the HEART pathway tool would impact LOS among adult patients with chest pain. The project was piloted over an eight-week period in an urban North Carolina emergency department. Dorothea Orem's self-care deficit theory and John Kotter's eight-step change model provided the scientific underpinnings for the project. Data were collected from the electronic health record. A sample of 627 patients was included, with n = 504 in the comparative group and n = 123 in the implementation group. An independent samples t-test was used to compare the LOS between the comparative and implementation groups [t (624) = 1.20, p = .115]. However, a clinically significant mean decrease of 56.1 minutes was measured after implementing the HEART Pathway tool. Based on the results, the translation of Frisoli et al.'s research using the HEART pathway may reduce LOS in this population. Recommendations include sustaining the project at the project site with a larger sample over a longer period of time and disseminating the results.
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