Dissertation
Establishing Same-Day Discharge for Patients Undergoing Transarterial Chemoembolization in Interventional Radiology
University of Iowa
Doctor of Nursing Practice (DNP), University of Iowa
Spring 2026
Abstract
Background: Expert consensus suggests that same-day discharge (SDD) of patients undergoing trans arterial chemoembolization (TACE) is safe with well-established protocols, but the institution currently does not have protocols in place to assess for SDD which leads to the use of an observation bed, increased patient load for the admitting team, an increased risk of patients experiencing adverse hospital events, and an increased cost of stay. Purpose: The purpose of this DNP project was to implement a discharge checklist for patients undergoing TACE in IR that assesses the eligibility of same-day discharge, reducing postprocedural hospital stays in observation beds. Methods: Chart review was performed on patients who had completed TACE between August 1, 2025, and October 31, 2025, and checklists were distributed to nursing staff for these cases along with a nursing survey. This data was collected at the end of each case and analyzed. Findings: 100% of patients that were identified by the checklist as safe for same-day discharge, were able to discharge home same-day without incidence. The checklist was reported easy to use by nursing staff and a high level of satisfaction with the discharge process was identified. Discussion: By creating a system to identify and ensure safe discharge for select patients, this nurse-led initiative has prevented unnecessary overnight hospital observation leading to reduced utilization of hospital observation beds and decreased cost of care to the patient.
Details
- Title: Subtitle
- Establishing Same-Day Discharge for Patients Undergoing Transarterial Chemoembolization in Interventional Radiology
- Creators
- Alisha Teutsch - University of Iowa
- Contributors
- Heather Dunn (Chair) - University of Iowa
- Resource Type
- Dissertation
- Project Type
- Poster
- Degree Awarded
- Doctor of Nursing Practice (DNP), University of Iowa
- Degree in
- Adult/Gerontology Nurse Practitioner (Acute Care)
- Date degree season
- Spring 2026
- Publisher
- University of Iowa
- Number of pages
- 1 page
- Copyright
- Copyright © 2026 Alisha Teutsch
- Language
- English
- Academic Unit
- College of Nursing; Doctor of Nursing Practice Projects
- Record Identifier
- 9985217823502771
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