Sheryl Winn DNP, APRN, ANP-BC, Committee Chair
Glynnis J. Haley, DNP, NP-C, Committee Member
This quality improvement (QI) project evaluated the length of stay (LOS) of low-risk chest pain (CP) patients in a rural hospital. A convenience sample of emergency department (ED) physicians and non-physician providers ages 18-75 employed at Navicent Health Baldwin were eligible for recruitment. Pre- and post-surveys were used to evaluate to evaluate ED providers’ knowledge of low-risk chest pain metrics for statistical significance and a comparison of LOS for low-risk chest pain patients was compared for clinical and statistical significance seen at the facility. The mean scores of eight items on the postintervention to preintervention knowledge survey were identical. The remaining three questions showed a statistically insignificant increase in knowledge. LOS increased from postintervention (M 28.9 SD 14.54) to preintervention (M 26.0 SD 12.16), but the results were not statistically significant t(87) =-0.95, p = 0.138. The chosen guideline for this project was the history, EKG, age, risk factors, troponin (HEART) score tool. Continued monitoring of LOS and HEART score guideline usage in low-risk CP patients is needed to reduce LOS in the future.
Walker, Tonja D.
"Implementing the HEART Score Guideline to Decrease Length of Stay in Low-Risk Chest Pain Patients in a Rural Hospital,"
The Corinthian: Vol. 20
, Article 11.
Available at: https://kb.gcsu.edu/thecorinthian/vol20/iss1/11