How to achieve patient-centered testing: role of the protocol nurse

Journal of Nuclear Cardiology : Official Publication of the American Society of Nuclear Cardiology
Patricia N SalimiFriederike K Keating

Abstract

Patient-centered cardiac testing is predicated on choosing the right test for the right patient. We studied the effects of changing from script-driven scheduling to nurse-driven protocoling of stress tests. A protocol nurse reviewed records before scheduling and communicated with patients and ordering providers if needed. We found that instituting nurse protocolling of all non-imaging (ETT) and nuclear (MPI) stress tests (N = 3071) resulted in protocol changes in 37% of our patients, and reduced the proportion of tests that could not be performed as scheduled by 56% and cancelations by 71% (P < 0.001 for each). These changes were sustained over two successive 6-month periods following a baseline observation period of 6 months. For MPI, the most frequent nurse interventions were re-protocoling as stress-first MPI (12% of tests), changing test location for clinical reasons (13%), changing stress modality (7%), and care coordination (5%). Changing from script-driven scheduling to protocol nursing contributed measurably to patient-centered testing.

References

Feb 14, 2012·Journal of Nuclear Cardiology : Official Publication of the American Society of Nuclear Cardiology·E Gordon DepueyL Samuel Wann
Apr 6, 2012·The American Journal of the Medical Sciences·Nancy D StubbsSuzanne Sanders
May 25, 2013·Australian Health Review : a Publication of the Australian Hospital Association·Sarah M DennisNicholas Zwar
Sep 4, 2013·Diagnostic and Interventional Imaging·P TroudeC Segouin
Feb 18, 2014·Journal of the American College of Cardiology·Andrew J EinsteinLeslee J Shaw

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Citations

Sep 3, 2017·Journal of Nuclear Cardiology : Official Publication of the American Society of Nuclear Cardiology·R G SchwartzM L Mackin

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