Mammography Adherence: Creation of a Process Change Plan to Increase Usage Rates
Document Type
Article
Abstract
BACKGROUND: Mammography is the optimal tool to mitigate breast cancer morbidity and mortality; however, in many healthcare settings, mammography adherence rates are decreasing. OBJECTIVES: This nurse-led quality improvement project was conducted to improve patient adherence to annual mammography screening. METHODS: Data collection included clinical information from the electronic health record, chart reviews, tracking documentation used by the clinic's social worker, interviews with staff, observation of the clinical setting, creation of a process flow map to identify barriers, and identification of internal and external resources. Strategies to reduce barriers included communication with staff about problems, a streamlined referral process, a scripted message about mammography, an up-front assessment of financial and social barriers to adherence, and an early referral to resources. FINDINGS: A pre-process change chart audit showed a 22% mammography adherence rate. The post-process change rate was 51%, representing a statistically significant difference in adherence.
Digital Object Identifier (DOI)
Publication Info
Published in Clinical Journal of Oncology Nursing, Volume 23, Issue 3, 2019, pages 281-287.
APA Citation
Smalls, T. E., Heiney, S. P., Baliko, B., & Tavakoli, A. S. (2019). Mammography Adherence: Creation of a Process Change Plan to Increase Usage Rates. Clinical Journal of Oncology Nursing, 23(3), 281-287.https://doi.org/10.1188/19.CJON.281-287
Rights
© 2024 Oncology Nursing Society