| Autor: |
Griffith, Kristi M., Barrett, Nora J., Case, Kristi L., Dahlin, Susan W., Webb, Stacey L. |
| Předmět: |
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| Zdroj: |
Journal of Oncology Navigation & Survivorship; Jun2016, Vol. 7 Issue 5, p16-21, 6p |
| Abstrakt: |
Background: The results from the National Lung Cancer Screening Trial in 2012 showed a 20% relative decrease in mortality with the use of annual low-dose computed tomography (LDCT) lung scans for at-risk patients. Thus, an LDCT lung screening program was initiated in 2013; however, multiple barriers that might delay patient access to screening were encountered. One major obstacle to LDCT screening was scheduling the scan, with process delays of up to 21 days after the order was received by the navigator. Scheduling required multiple steps and resulted in delayed service and increased noncompliance because the sense of urgency decreased as time lapsed. Objective: To decrease the time between the receipt of physician's order for LDCT and date of actual screening. Methods: A multidisciplinary team collaborated in an effort to improve LDCT efficiency. The scheduling process was one area targeted. In the improved process, the patient navigator, patient, and radiology scheduler directly connected via 3-way conferencing for more prompt direct scheduling, avoiding multiple phone calls and decreasing delay of scheduling. Results: A total of 109 patients were included in our analysis. We found that the time between receipt of the LDCT order and actual scan was reduced by 3 days preintervention versus postintervention (13.5 ± 16.2 vs 10.1 ± 13.3 days, respectively). Conclusion: With the streamlining in scheduling, there was a decrease in delay from order to actual screen. Evaluation of current program and improvement efforts continue to increase patient access to screenings and compliance with screenings, leading to better outcomes for patients. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
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