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Related Experiment Video

Updated: Sep 21, 2025

E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
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New clinic workflow improves compliance for routine PCN exchanges.

Jeffrey Sung1, Dena Al-Dabhani2, Alana Dinh3

  • 1Division of Interventional Radiology, Department of Radiology, Weill Cornell Medicine, United States of America.

Clinical Imaging
|June 6, 2022
PubMed
Summary

Implementing automated tracking and phone call reminders significantly improved timely percutaneous nephrostomy tube exchanges. This intervention enhances patient follow-up compliance and reduces instances of lost-to-follow-up care.

Keywords:
Percutaneous nephrostomyQuality improvement

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Area of Science:

  • Urology
  • Healthcare Quality Improvement
  • Medical Workflow Optimization

Background:

  • Routine percutaneous nephrostomy tube (PCN) exchanges are critical for patient management.
  • Suboptimal follow-up compliance for PCN exchanges can lead to delayed care and adverse outcomes.
  • Current follow-up protocols require enhancement to ensure timely procedures.

Purpose of the Study:

  • To evaluate the impact of a clinic workflow intervention on the follow-up compliance for routine percutaneous nephrostomy tube exchanges.
  • To assess the effectiveness of automated tracking and reminder calls in improving timely PCN tube management.

Main Methods:

  • An intervention involving automated electronic tracking and 60-day post-procedure phone call reminders for PCN exchanges was implemented.
  • Data on PCN placements and exchanges were collected for pre- and post-intervention periods.
  • Exchange rates within 90 days were compared between groups using statistical analysis (Chi-squared test).

Main Results:

  • The study included 160 PCN procedures pre-intervention and 69 post-intervention.
  • Post-intervention, the rate of PCN exchanges within 90 days significantly increased from 46.3% to 68.1% (p=0.002).
  • The intervention demonstrated a marked improvement in compliance with recommended 90-day follow-up intervals.

Conclusions:

  • Automated tracking and proactive phone call follow-up at 60 days is a simple yet effective intervention.
  • This workflow enhancement significantly improves compliance for routine PCN exchanges.
  • The intervention successfully reduces the rate of patients lost to follow-up, optimizing care delivery.