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IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
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Mutually exclusive dendritic arbors in C. elegans neurons share a common architecture and convergent molecular cues.

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Collaborative Care on the Stroke Unit: A Cross-Sectional Outcomes Study.

Janet G Wood1

  • 1Questions or comments about this article may be directed to Janet G. Wood, RN DNP(c) NP-C, at janpricewood@yahoo.com. She is a Clinical Assistant Professor, School of Nursing and Health Studies, University of Missouri-Kansas City. She maintains a clinical practice as a Hospitalist Nurse Practitioner, Department of Hospital Medicine, Mercy Hospital, Springfield, MO.

The Journal of Neuroscience Nursing : Journal of the American Association of Neuroscience Nurses
|September 1, 2016
PubMed
Summary

Collaborative advanced practice nurse and hospitalist physician care improved patient experience and quality measures in stroke units. This model shows promise for enhancing inpatient stroke care quality and patient outcomes.

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Area of Science:

  • Neurology
  • Healthcare Management
  • Quality Improvement

Background:

  • Value-based healthcare models necessitate high-functioning collaborative teams.
  • Optimizing care delivery is crucial for managing complex neurological conditions like stroke.

Purpose of the Study:

  • To compare the economic and quality outcomes of a collaborative advanced practice nurse (APN) and hospitalist physician model versus traditional hospitalist physician-led care.
  • To assess the impact of this collaborative model on inpatient stroke unit care.

Main Methods:

  • A retrospective cross-sectional study involving 200 patients (100 in each group) with stroke or transient ischemic attack.
  • Outcomes measured included length of stay, 30-day readmissions, stroke core measure documentation, and patient experiences.
  • Care models compared were collaborative APN-hospitalist physician versus usual hospitalist physician-led care.

Main Results:

  • The collaborative care group demonstrated improvements in one stroke core quality measure and two patient experience measures.
  • Length of stay and 30-day readmission rates were comparable between the two care models.
  • No patients in the collaborative care group left against medical advice, compared to five in the usual care group.

Conclusions:

  • Collaboration between advanced practice nurses and hospitalist physicians offers a promising approach to enhancing healthcare quality in inpatient stroke care.
  • The model's positive impact on patient experience and quality suggests potential generalizability to other adult medicine populations.