title: 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: OBJECTIVE
  To evaluate patterns of utilization of the aneurysmal subarachnoid hemorrhage (aSAH) protocol order set for neurogenic stress myocardium (NSM).
  
  
  METHODS
  Retrospective chart review.
  
  
  CONCLUSIONS
  The results of this study demonstrate that protocol order sets can be prone to omissions, variations in practice, and delays.
  
  
  CONCLUSIONS
  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.
authors.affiliation: Department of Neurology, Medical College of Wisconsin, College of Nursing, Marquette University, Milwaukee, Wisconsin, College of Nursing, Marquette University, Milwaukee, Wisconsin.
authors.forename: Denise Miller
authors.initials: DM
authors.lastname: Niklasch
authors.forename: Kathleen
authors.initials: K
authors.lastname: Bobay
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D009202:Cardiomyopathies / Q000175:diagnosis* / Q000209:etiology* / Q000628:therapy; D002985:Clinical Protocols; D005260:Female; D019983:Guideline Adherence; D006801:Humans; D008297:Male; D008875:Middle Aged; D018579:Patient Selection; D058996:Quality Improvement; D012189:Retrospective Studies; D013345:Subarachnoid Hemorrhage / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D055815:Young Adult
keywords: Utilization analysis; aneurysmal subarachnoid hemorrhage; compliance monitor; neurogenic stress myocardium; protocol order sets