Quality Improvement Project: analysis of efficiency of current order set for the diagnostic workup used to evaluate neurogenic stress myocardium in aneurysmal subarachnoid hemorrhage. J Am Assoc Nurse Pract 2013 Jun;25(6):314-319
Date
10/31/2013Pubmed ID
24170596DOI
10.1111/j.1745-7599.2012.00799.xScopus ID
2-s2.0-84880948753 (requires institutional sign-in at Scopus site)Abstract
PURPOSE: To evaluate patterns of utilization of the aneurysmal subarachnoid hemorrhage (aSAH) protocol order set for neurogenic stress myocardium (NSM).
DATA SOURCES: Retrospective chart review.
CONCLUSIONS: The results of this study demonstrate that protocol order sets can be prone to omissions, variations in practice, and delays.
IMPLICATIONS FOR PRACTICE: Education and implementation of an intervening compliance monitor are essential to improve utilization and correctness in use of the aSAH protocol order set for NSM. Advance practice nurses (APNs) or nursing staff could provide this service. This would improve teamwork, improve efficiency of care delivery and utilization of resources, promote leadership and improved outcomes, and promote relationship-based care.
Author List
Niklasch DM, Bobay KAuthor
Kathleen Bobay PhD Associate Professor in the Nursing department at Marquette UniversityMESH terms used to index this publication - Major topics in bold
AdolescentAdult
Aged
Aged, 80 and over
Cardiomyopathies
Clinical Protocols
Female
Guideline Adherence
Humans
Male
Middle Aged
Patient Selection
Quality Improvement
Retrospective Studies
Subarachnoid Hemorrhage
Young Adult
