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September 19, 2026JACC Case ReportsOpen Access

Targeted multidisciplinary interventions increase same-day discharge after outpatient PCI to 75%.

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Why the study?

Same day discharge rates following outpatient PCI at the University of Virginia Medical Center were significantly lower compared with national benchmarks despite evidence supporting safety and benefits of SDD.

Does a structured, multidisciplinary care pathway increase same-day discharge rates in patients undergoing outpatient PCI?

Population

Patients undergoing outpatient PCI at the University of Virginia Medical Center

Comparison

Structured multidisciplinary care pathway implementation vs historical practice prior to implementation

Design

Multidisciplinary quality improvement project

Key result

Implementation of targeted multidisciplinary interventions to address discharge barriers increased same day discharge rates following outpatient PCI to a performance best of 75%.

Authors

BCBlythe CherrixAPAllison Patrizio

Discussion

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Overview

Supports multidisciplinary pathways to increase same-day discharge after PCI; hypothesis-generating pending prospective validation.

Key Points

  • To establish and evaluate a structured, multidisciplinary care pathway designed to safely increase same-day discharge rates following outpatient percutaneous coronary intervention.
  • Formed a multidisciplinary clinical team to identify and target procedural and post-procedural barriers to discharge at an academic medical center.
  • Redesigned the outpatient percutaneous coronary intervention care pathway to streamline discharge processes against national peer hospital benchmarks.
  • Same-day discharge rates increased following pathway implementation, achieving a peak performance rate of 75%.
  • One safety issue was documented involving a patient who did not adhere to instructions, with no additional safety concerns identified.

Structured PICO

Does a structured, multidisciplinary care pathway increase same-day discharge rates in patients undergoing outpatient PCI?

P
Population
Patients undergoing outpatient percutaneous coronary intervention (PCI) at the University of Virginia Medical Center.
I
Intervention
Implementation of a structured, multidisciplinary care pathway with targeted interventions to address discharge barriers.
C
Comparator
Historical practice prior to implementation.
O
Outcome
Same day discharge (SDD) rate.

A structured, multidisciplinary care pathway can safely and significantly increase same-day discharge utilization after outpatient PCI.

Cite This Study

Cherrix et al. (2026) studied Outpatient percutaneous coronary intervention (PCI). Multidisciplinary team interventions to address discharge barriers vs. Baseline/historical rates was evaluated on Same day discharge (SDD) rate. Implementation of targeted multidisciplinary interventions to address discharge barriers increased same day discharge rates following outpatient PCI to a performance best of 75%.

synapsesocial.com/papers/6aae47640c69660b71ecc648https://doi.org/10.1016/j.jaccas.2026.109522
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Also Consider

Synapse has enriched 4 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Prevalence and Outcomes of Same-Day Discharge After Elective Percutaneous Coronary Intervention Among Older Patients2011 · 127 citations
  2. 2Defining the length of stay following percutaneous coronary intervention2009 · 96 citations
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  4. 4A Randomized Study Comparing Same-Day Home Discharge and Abciximab Bolus Only to Overnight Hospitalization and Abciximab Bolus and Infusion After Transradial Coronary Stent Implantation2006 · 380 citations