A quality improvement project to optimize patient outcomes following the maze procedure.
Atrial fibrillation (AF) is the most common of all clinically sustained heart arrhythmias with associated morbidities (shortness of breath, fatigue, and stroke). The maze cardiac surgical procedure is a new treatment option available for patients who have medical refractory AF. The purpose of this study was to determine whether a written postdischarge protocol was necessary to improve outcomes following the maze procedure. Only 3 (27%) patients with AF were actively treated by an arrhythmia protocol for restoration of sinus rhythm. Unnecessary pharmacologic management for AF was found in 44 patients with normal sinus rhythm. A postdischarge protocol was developed that improved outcomes.
Henry
Linda L
LL
Inova Cardiac and Vascular Institute, Fairfax Hospital, Falls Church, Virginia 22042, USA. Linda.Henry@inova.com
Ad
Niv
N
Martin
Lisa
L
Hunt
Sharon
S
Crippen
Pamela
P
D000328:Adult; D000359:Aftercare / Q000458:organization & administration*; D000465:Algorithms; D001281:Atrial Fibrillation / Q000601:surgery*; D017115:Catheter Ablation / Q000009:adverse effects; D002985:Clinical Protocols; D003266:Continuity of Patient Care / Q000458:organization & administration; D003625:Data Collection; D003663:Decision Trees; D005260:Female; D005500:Follow-Up Studies; D006764:Hospitals, Community; D006801:Humans; D008297:Male; D008875:Middle Aged; D020380:Needs Assessment; D015403:Nursing Evaluation Research; D017063:Outcome Assessment, Health Care; D010351:Patient Discharge / Q000592:standards; D016730:Program Development; D015397:Program Evaluation; D011795:Surveys and Questionnaires; D017749:Total Quality Management / Q000458:organization & administration*