The Journal Of Cardiovascular Magnetic Resonance

the patient. I want to get a phone call immediately of any changes, not reading about it in a daily

“No-shows” are very common within the medical field. A MA can take certain measures that can help to prevent “no-shows”, such as reminder phone calls and allowing patients to use open access scheduling. However, when a “no-show” does occur documentation is the most important step of the scheduling process. Failure to document no shows can be a liability factor for the practice, especially for the physician. If the medical assistant does not document the no-show and the patient comes into further harm, the patient can sue the practice for patient neglect (). When a no-show does occur it is important that the incident is properly document and the MA should even be required to reach out to the patient for a cause of the no-show. This step can

The optimal goal of alert timing would be to alert the provider as soon as possible about an error and to only display one alert per order. Achieving this goal would contribute to the prevention of alert fatigue because the practitioners would not receive numerous alerts throughout the same order. Not only would this help decrease alert fatigue, but it would also increase the efficiency of order entry. For instance, if alerts are not delivered to the practitioners as soon as possible, then practitioners may be unaware that an error exists as they continue to complete the order. If they receive the alert after they have entered most or all of the information, then they would have to go back and adjust the order which would take more time than if the alert had been sent out sooner.2 Alerts that are not sent out in a timely manner ultimately hinder functionality of CPOE and frustrate practitioners. Therefore, determining how to design CDS systems to quickly notify practitioners and decreasing the number of alerts without compromising patient care will be highly

This experiment was used to determine the impact of reminder systems on appointment nonadherence rates in a clinic population. Clinician time lost due to no-shows is unrecoverable. Because of the unpredictable nature of appointment nonadherence, providers’ schedule gaps cannot be filled with other patients. Since the no-shows then to occur at spotty intervals, creating short periods of downtime, it is even difficult for providers to fill the time with administrative tasks. The loss of revenue from fees that would have been charged for services had patients kept their appointments affects clinic budgets significantly (Maxwell 2001).

Upon close examination, and the study of materials and data gathered, it was established that the breakdown of communication remains to be the main culprit in handoff deviations. One survey concluded that up to 59% of all participants had, at least, one patient who suffered from medical errors as a result of an ineffective handoff report (Barry, 2014). Many efforts are being expended to counter these instances; nevertheless, it seems that many of these issues persist to this date. Additionally, as stated above, over 70% of all adverse effects have to do with communication errors; a recent study indicates that approximately only 43.9% of all pertinent information gets relayed accurately to the care unit and that as much as 43% of all malpractice

Columbus, Ohio Memorial Hospital (COMH) has implemented an electronic medical record (EMR) since 2010, which has clearly demonstrated great improvement in patient care. During my work experiences, one of the concerns the physicians voiced were they were unable to communicate patient information to other providers or staff without having access to electronic medical records (EMR) in front of them, at that given time. The concerns expressed were that there was countless times that a physician had to wait on lab results to base their decision on patient care, while located at another facility. Physicians have experienced the frustration of inconvenient, slow or missing communication in their facilities when caring for their patients. In addition,

*Appointment reminders sent out 2 business days prior to the appointment will remind patient of Digital Registration needing completed prior to appointment and to arrive early for appointment based on appointment type.

The coronary artery that was occluded in M.T.’s coronary circulation were the right coronary artery. When coronary blood flow is interrupted for an extended period, myocyte necrosis occurs. This results in MI. In the majority of MI, the decrease in coronary flow is the result of atherosclerotic CAD (McCance & Huether, 2014). M.T. is experiencing transmural MI. According to H. Michael Bolooki (2010), a transmural MI is characterized by ischemic necrosis of the full thickness of the affected muscle segment(s), extending from the endocardium through the myocardium to the epicardium. M.T. was exhibiting crushing substernal chest pain radiating down his left arm. He was complaining of dizziness and nausea. During M.T.’s physical exam, he

A control group, that represents patient files from August 2000 to August 2003, consisted of 4 985 patients and an SMS reminder group, that represents patient files from August 2003 to August 2006 since an SMS reminder system was installed in August 2003, consisted of 3 981 patients. The result was a reduction of DNAs range from 33.6% for a control group to 22% for SMS reminder group. The retrospective study showed SMS reminders to be effective in decreasing non-attendance at the outpatient ENT Clinic (Geraghty et al, 2008).

If a patient calls for any reason it is important to make sure they are calling the correct office.

To highlight the information in table 1, note that the total amount of arrived appointments are increasing each fiscal year. The focus clinics for this capstone are allergy and nephrology; both clinics overall no show rate either decreased or remain the same for each fiscal year. Please note, that the adjusted no show rates are not reflected in the appointment volume information and rates listed below. The data from the EDW and CUBES does not provide the adjusted no show rate.

When scheduling patient appointments, numerous potentially legal issues can surface beginning with the initial referral request from a primary care provider (PCP) or specialist’s office. Healthcare providers are transitioning from paper medical records to electronic health records (EHRs) and when the initial telephone call is received, schedulers register the patient by creating an EHR in the health information technology (HIT) system of the referring organization. EHRs contain the personal health information necessary to identify the patient and help to reduce medical errors, which is a serious issue in healthcare. EHRs are a convenient, one-stop shop for patient information because providers have one central location to access current

Working in a facility where majority of the patients or residents have cardiac related health problems, I perform a shorter version of cardiac and peripheral vascular system assessments in day-to-day basis. Most of my residents have signs and symptoms of cardiovascular disease and daily monitoring is important. I have one resident in particular that I have been monitoring and regularly update the doctor of his status. He has congestive heart failure (CHF), COPD, and other co-morbidities. He has 4+ pitting edema to the lower extremities, elevated heart rate, and crackles to the lungs, which are the presenting symptoms of CHF (Jarvis, 2016). He is alert and oriented x3 with episodes of forgetfulness. I have to constantly reminding him to elevate

It is not uncommon to have an internet call drop due to connectivity issues. When a patient and a doctor are on a call discussing health issues, a lot can go wrong with a dropped call or a missed broadcast. There is a potential of loss or miscommunication of vital information which can lead to wrong diagnosis and treatment of the patient.