Use of technology to Monitor Patient transitions Post-transcatheter Aortic Valve implant: results of a 12-month Follow-up Quality improvement initiative.

Autor: Duchesne, Laura, Quinlan, Bonnie, MacPhee, Erika, Abols, Alain-Phillipe, Cross, Cindy, Twyman, Kim
Zdroj: Canadian Journal of Cardiovascular Nursing; Fall2021, Vol. 31 Issue 3, p14-20, 7p
Abstrakt: Background: Transitional care strategies have demonstrated effectiveness in lowering readmissions, improving quality of life (QOL), and decreasing costs of care. Purpose: The purpose of this prospective follow-up, quality improvement initiative was to identify transitional care gaps, based on patient outcome indicators in post-transcatheter aortic valve implant (TAVI) patients, using various types of technology after hospital discharge. Methods: All TAVI patients discharged from a Canadian tertiary cardiac care centre from January 2019 to January 2020 were offered automated follow-up (N = 77). Results: Most common transitional care gaps included failure to recognize early signs of heart failure, understand the activity guidelines, and access a primary care provider. Conclusion: Using various types of technology to facilitate transitional care practices was an effective nurse-led strategy for assessing post-discharge complications and QOL. Implications for Practice: Increasing the use of novel technology strategies to monitor TAVI patients post-discharge could optimize the care of this patient population. [ABSTRACT FROM AUTHOR]
Databáze: Supplemental Index