Don’t Skip A Beat! Hit a Home Run After Cardiac Surgery

The George Washington University Hospital (Washington, D.C.)

CSI Summary

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CSI Presentation

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CSI Toolkit

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Project Topic:

Decreasing length-of-stay (LOS) for post-cardiac surgery patients

Hospital Unit:

3South/Cardiovascular Center

CSI Participants:

  • Janice Belen, BSN, RN
  • Danielle Delice, BSN, RN
  • Shirleta Henson-McKann, BS, RN
  • Paige Lumley, BSN, RN

Video Presentation

View this CSI team's project presentation video to earn CERPs.

Project Goals/Objectives:

  1. Reduce cardiothoracic patients’ LOS 10% to meet projected geometric mean LOS targets
  2. Increase collaboration with interdisciplinary team to ensure safe and timely discharges

Project Outcomes:

  1. Achieved increased collaboration with interdisciplinary round (IDR) team daily to ensure safe and timely discharges
  2. Increased patient flow secondary to early and safe discharge planning

Project Overview:

The average LOS of post-cardiac surgery patients on our unit during the months of January through May of 2021 was 12 days. Our CSI team’s goal was to decrease that LOS 10% with early discharge planning that included all members of the interdisciplinary team.

Throughout our project, we encountered various challenges, such as an increased volume of COVID-19 patients. These patients’ discharges were delayed awaiting placement to subacute rehabilitation centers or long-term care. In addition, we encountered increased patient acuity during our unit’s transition to a step-down unit from an acute care unit.

As a result, we were unable to meet our original goal of decreasing LOS. However, we successfully changed the way the interdisciplinary team collaborates to ensure safe and timely discharges for our patients.

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The AACN CSI Academy program supports change projects based on quality improvement methods. Although CSI teams seek to ensure linkage between their project and clinical/fiscal outcomes, data cannot be solely attributed to the project and are estimations of impact.