Referral Efficiency for Veterans with Osteoarthritis: A Quality Improvement Project.

Autor:	Sauter E; Elizabeth Sauter, DNP, APRN, FNP-C, FAANP, School of Nursing, John Hopkins University, Baltimore, MD.; Shanjean Lee, MD, VA Sierra Nevada Health Care System, Reno, NV.; Theresa Watts, PhD, RN, MPH, Orvis School of Nursing, University of Nevada-Reno, Reno, NV.; Deborah Busch, DNP, CPNP, IBCLC, FAANP, School of Nursing, John Hopkins University, Baltimore, MD., Lee S; Elizabeth Sauter, DNP, APRN, FNP-C, FAANP, School of Nursing, John Hopkins University, Baltimore, MD.; Shanjean Lee, MD, VA Sierra Nevada Health Care System, Reno, NV.; Theresa Watts, PhD, RN, MPH, Orvis School of Nursing, University of Nevada-Reno, Reno, NV.; Deborah Busch, DNP, CPNP, IBCLC, FAANP, School of Nursing, John Hopkins University, Baltimore, MD., Watts T; Elizabeth Sauter, DNP, APRN, FNP-C, FAANP, School of Nursing, John Hopkins University, Baltimore, MD.; Shanjean Lee, MD, VA Sierra Nevada Health Care System, Reno, NV.; Theresa Watts, PhD, RN, MPH, Orvis School of Nursing, University of Nevada-Reno, Reno, NV.; Deborah Busch, DNP, CPNP, IBCLC, FAANP, School of Nursing, John Hopkins University, Baltimore, MD., Busch D; Elizabeth Sauter, DNP, APRN, FNP-C, FAANP, School of Nursing, John Hopkins University, Baltimore, MD.; Shanjean Lee, MD, VA Sierra Nevada Health Care System, Reno, NV.; Theresa Watts, PhD, RN, MPH, Orvis School of Nursing, University of Nevada-Reno, Reno, NV.; Deborah Busch, DNP, CPNP, IBCLC, FAANP, School of Nursing, John Hopkins University, Baltimore, MD.
Jazyk:	angličtina
Zdroj:	Orthopedic nursing [Orthop Nurs] 2024 Jul-Aug 01; Vol. 43 (4), pp. 212-217. Date of Electronic Publication: 2024 Jul 24.
DOI:	10.1097/NOR.0000000000001041
Abstrakt:	Management of osteoarthritis, a common disease among veterans, includes referrals to orthopedic specialists. This requires an effective referral system. The aim of this study was to evaluate a quality improvement project addressing inefficiencies in the osteoarthritis referral process between primary care providers and orthopedic specialists. A pre- and post-intervention evaluation using medical record review and provider surveys was conducted to measure the process improvement of a primary care to orthopedic referral template. There was a 3.5% increase in the referral acceptance rate following the intervention. In addition, primary care providers perceived that role clarity and perception on making referrals had significantly improved. The largest perceived improved change among orthopedic specialists was in communication. A simple process change, such as improving the referral template, can help with communication, data transfer, and referral acceptance rates between primary care providers and orthopedic specialists. This in turn will benefit the large population of veterans needing orthopedic referrals for management of osteoarthritis. Competing Interests: The authors declare no conflicts of interest. (Copyright © 2024 by National Association of Orthopaedic Nurses.)
Databáze:	MEDLINE
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