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

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 patien...

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Publicado en:Canadian Journal of Cardiovascular Nursing Vol. 31; no. 3; pp. 14 - 21
Autores principales: Duchesne, Laura, Quinlan, Bonnie, MacPhee, Erika, Abols, Alain-Phillipe, Cross, Cindy, Twyman, Kim
Formato: questionnaire/scale research tables/charts Journal Article
Publicado: Canadian Council of Cardiovascular Nurses (CCCN) Fall2021
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Fall2021
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      pub: Canadian Council of Cardiovascular Nurses (CCCN)
      place: Ottawa, Ontario
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        atl: Use of technology to Monitor Patient transitions Post-transcatheter Aortic Valve implant: results of a 12-month Follow-up Quality improvement initiative.
      aug:
        au:
          Duchesne, Laura
          Quinlan, Bonnie
          MacPhee, Erika
          Abols, Alain-Phillipe
          Cross, Cindy
          Twyman, Kim
        affil: Director, Cardiac Prevention and Rehabilitation, University of Ottawa Heart Institute, 40 Ruskin St., Ottawa, ON, K1Y 4W7
      sug:
        subj:
          Transcatheter Aortic Valve Implantation
          Transfer, Discharge
          Postoperative Care
          Transitional Care
          Monitoring, Physiologic
          Technology
          Quality Improvement
          Human
          Prospective Studies
          Cardiac Patients
          Patient-Reported Outcomes
          Tertiary Health Care
          Coronary Care Units
          Canada
          Heart Failure Symptoms
          Heart Failure Diagnosis
          Failure to Diagnose
          Primary Health Care
          Health Services Accessibility
          Cardiovascular Nursing
          Nurses Education
          Quality of Life
          Structured Interview
          Structured Questionnaires
          Descriptive Statistics
          Data Analysis Software
          Middle Age
          Aged
          Aged, 80 and Over
          Male
          Female
          Middle Aged: 45-64 years
          Aged: 65+ years
          Aged, 80 & over
          Male
          Female
      ab: 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.
      pubtype: Academic Journal
      doctype:
        questionnaire/scale
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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