| Sumario: | 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.
|
|---|