title: Improved bed use with creation of a short-stay unit in a cardiac catheterization recovery room.
abstract: OBJECTIVE
  To solve a capacity problem in a pediatric cardiovascular program, a 5- bed short-stay unit was created in the cardiac catheterization recovery room area within a 6-week timeframe. We describe the problem, solution, and early results in hospital performance and patient outcomes.
  
  
  METHODS
  Data were reviewed for 183 patients who underwent various cardiac catheterization procedures and recovered overnight in the cardiac short-stay unit during the first 4 months of operation. The effect on bed use throughout the cardiac program and impact on the usual recovery room operations were assessed.
  
  
  RESULTS
  The cardiovascular inpatient bed shortage was relieved with the creation of a 5-bed short-stay unit, and no cardiac procedures were canceled because of lack of beds during the study period.
  
  
  CONCLUSIONS
  There was no negative impact on clinical operations in the catheterization laboratory recovery room, and the short-stay unit was cost-effective. According to the rate of admission after recovery in the short-stay unit (5/183), patient selection was appropriate.
authors.affiliation: Department of Nursing/Patient Services, Cardiovascular Program, Children's Hospital, Boston, Massachusetts, USA. pat.obrien@cardio.chboston.org
authors.forename: Patricia
authors.initials: P
authors.lastname: O'Brien
authors.forename: Cheryl
authors.initials: C
authors.lastname: O'Connell
authors.forename: Sandra
authors.initials: S
authors.lastname: Fenwick
authors.forename: Bridget
authors.initials: B
authors.lastname: Stewart
authors.forename: Audrey C
authors.initials: AC
authors.lastname: Marshall
authors.forename: Patricia
authors.initials: P
authors.lastname: Hickey
mesh_terms: D001513:Beds / Q000706:statistics & numerical data*; D006328:Cardiac Catheterization; D003422:Critical Care; D006742:Hospital Bed Capacity / Q000706:statistics & numerical data*; D006801:Humans; D007297:Inpatients; D007902:Length of Stay; D010372:Pediatrics; D011997:Recovery Room; D012189:Retrospective Studies; D013997:Time Factors; D014481:United States