Quality Improvement Project: analysis of efficiency of current order set for the diagnostic workup used to evaluate neurogenic stress myocardium in aneurysmal subarachnoid hemorrhage

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.

Keywords: Utilization analysis; aneurysmal subarachnoid hemorrhage; compliance monitor; neurogenic stress myocardium; protocol order sets.