The Effectiveness of implementation of standard clinical pathway through healthcare professionals among acute myocardial infarction patients undergoing for angiography / angioplasty in a public tertiary care hospital, Karachi

Authors

  • Shahzad Bashir Institute of Nursing, Jinnah Sindh Medical University, Karachi, Pakistan
  • Sarfraz Masih Institute of Nursing, Dow University of Health Sciences (DUHS), Karachi, Pakistan
  • Rubina Barolia School of Nursing and Midwifery (SONAM), Aga Khan University, Karachi, Pakistan
  • Muhammad Nawaz Lashari Department of Cardiology, Dow Medical College, Dr. Ruth K.M. Pfau Civil Hospital, Dow University of Health Sciences, Karachi, Pakistan
  • Iram Amin Department of Cardiology, Dr. Ruth K.M Pfau Civil Hospital, Karachi, Pakistan

DOI:

https://doi.org/10.47391/JPMA.2468

Abstract

Objective: To assess the effect of acute myocardial infarction standard clinical pathway among acute myocardial infarction patients on length of stay in public tertiary care settings.

Methods: The quasi-experimental non-randomised case-control study was conducted at the Department of Cardiology, Dr Ruth Pfau Civil Hospital, Karachi, from September to December 2018, and comprised acute myocardial infarction in-patients. Those admitted before the implementation of acute myocardial infarction standard clinical pathway formed the control group, while those admitted after the implementation were in the intervention group. Acute myocardial infarction standard clinical pathway was implemented and the interventional clinical practices of healthcare professionals, including cardiologists, postgraduates, residents, nurses and critical care technicians, were assessed using a standard checklist. Data was analysed using SPSS 21.

Results: Of the 100 participants, 50(50%) were in the control group; 31(62%) males and 19(38%) females. The intervention group also had 50(50%) patients; 35(70%) males and 15(30%) females. Regarding effectiveness of the implementation of standard clinical pathway, length of hospital stays reduced significantly in the intervention group compared to the control group (p=0.003).

Conclusion: The implementation of acute myocardial infarction standard clinical pathway reduced the length of hospital stay of acute myocardial infarction in- patients.

Key Words: Acute Myocardial Infarction, AMI standard clinical pathway, Length of hospital stay, LOS, Angiography, Angioplasty, Health care professionals.

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Author Biographies

Sarfraz Masih, Institute of Nursing, Dow University of Health Sciences (DUHS), Karachi, Pakistan

Assistant Professor & Program Coordinator- MSN

Rubina Barolia, School of Nursing and Midwifery (SONAM), Aga Khan University, Karachi, Pakistan

Associate Professor & Assistant Dean in Clinical

Muhammad Nawaz Lashari, Department of Cardiology, Dow Medical College, Dr. Ruth K.M. Pfau Civil Hospital, Dow University of Health Sciences, Karachi, Pakistan

Professor & Ex. Chairman, HOD, Interventional Cardiologist

Iram Amin, Department of Cardiology, Dr. Ruth K.M Pfau Civil Hospital, Karachi, Pakistan

Staff Nurse (BPS-16)

Published

2022-02-03

How to Cite

Shahzad Bashir, Sarfraz Masih, Rubina Barolia, Muhammad Nawaz Lashari, & Iram Amin. (2022). The Effectiveness of implementation of standard clinical pathway through healthcare professionals among acute myocardial infarction patients undergoing for angiography / angioplasty in a public tertiary care hospital, Karachi. Journal of the Pakistan Medical Association, 72(3). https://doi.org/10.47391/JPMA.2468

Issue

Section

ORIGINAL ARTICLE