Setting a Benchmark for Quality of Care: Update on Best Practices in Transcatheter Aortic Valve Replacement Programs

Sandra B Lauck; Gemma McCalmont; Amanda Smith; Bettina Højberg Kirk; Marjo de Ronde-Tillmans; Steffen Wundram; Nassim Adhami

doi:10.1016/j.cnc.2022.02.009

Setting a Benchmark for Quality of Care: Update on Best Practices in Transcatheter Aortic Valve Replacement Programs

Crit Care Nurs Clin North Am. 2022 Jun;34(2):215-231. doi: 10.1016/j.cnc.2022.02.009. Epub 2022 Apr 28.

Authors

Sandra B Lauck¹, Gemma McCalmont², Amanda Smith³, Bettina Højberg Kirk⁴, Marjo de Ronde-Tillmans⁵, Steffen Wundram⁶, Nassim Adhami⁷

Affiliations

¹ School of Nursing, University of British Columbia, Centre for Heart Valve Innovation, St. Paul's Hospital, 5261-1081 Burrard Street, Vancouver, British Columbia V6Z 1Y6, Canada. Electronic address: slauck@providencehealth.bc.ca.
² James Cook University Hospital, Marton Rd, Middlesbrough TS4 3BW, United Kingdom.
³ Hamilton Health Sciences, 237 Barton Street East, Hamilton, ON L8L 2X2, Canada.
⁴ Department of Cardiology, 3153 The Heart Center, Rigshospitalet Copenhagen University Hospital, Blegdamsvej 9, 2100 Copenhagen, Denmark.
⁵ Department of Cardiology, Thorax center, Erasmus University Medical Center, Dr. Molewaterplein 403015 GD, Rotterdam, The Netherlands.
⁶ Universitätsklinikum, Schleswig-Holstein Campus Kiel, Arnold-Heller-Straße 3, Haus K3, 24105 Kiel, Germany.
⁷ School of Nursing, University of British Columbia, Centre for Heart Valve Innovation, St. Paul's Hospital, 5261-1081 Burrard Street, Vancouver, British Columbia V6Z 1Y6, Canada.

PMID: 35660235
DOI: 10.1016/j.cnc.2022.02.009

Abstract

Transcatheter aortic valve replacement (TAVR) is an established therapy for the treatment of severe aortic stenosis. The evolution of technology and procedural approaches has facilitated the development of streamlined clinical pathways to optimize patient care and improve outcomes. The revision of historical practices and the adoption of contemporary best practices throughout patients' journey from referral to discharge create opportunities to drive quality improvement. Nursing expertise and leadership are essential to recalibrate preprocedure, periprocedure, and postprocedure practice to transform the way we care for TAVR, achieve excellent outcomes, and promote high-performing health services for the treatment of valvular heart disease.

Keywords: Aortic stenosis; Clinical pathway; Minimalist approach; Nursing; Outcomes; Transcatheter aortic valve replacement.

Publication types

Review

MeSH terms

Aortic Valve Stenosis* / surgery
Benchmarking
Humans
Length of Stay
Risk Factors
Time Factors
Transcatheter Aortic Valve Replacement* / methods
Treatment Outcome