Reducing Missed Appointments for Patients With HIV: An Evidence-Based Approach.

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  • Additional Information
    • Affiliation:
      Outpatient Education, Allegheny Health Network, Pittsburgh, Pennsylvania
      Graduate and Professional Nursing Programs, Waynesburg University, Monroeville, Pennsylvania
    • Subject Terms:
    • Subject Terms:
    • Abstract:
      Background: High rates of missed appointments for routine HIV care are associated with unsuppressed viremia, increasing morbidity. Local Problem: The Clinic no-show rate ranged between 30% and 35%, and only 69% of patients were considered retained in care within a 24-month time frame. Methods: TheWoodward Risk Prediction Tool was completed on all patients to stratify patient risk formissing the next appointment. Interventions: All patients were offered text message along with standard phone message appointment reminders, and patients who missed appointments were called within 24 hours to reschedule. Medium-risk patients received a previsit planning call to remove barriers to appointment attendance, and high-risk patients received a home visit from the peer navigator. Results: The project resulted in a 3.8% reduction rate in the overall no-show rate in the first 5 months of implementation. Using risk stratification and targeted interventions allowed valuable resources to be allocated where they were needed.
    • Journal Subset:
      Core Nursing; Nursing; Peer Reviewed; USA
    • Instrumentation:
      Woodward Risk Prediction Tool
    • ISSN:
      1057-3631
    • MEDLINE Info:
      NLM UID: 9200672
    • Publication Date:
      20200306
    • Publication Date:
      20200309
    • DOI:
      http://dx.doi.org/10.1097/NCQ.0000000000000434
    • Accession Number:
      142036651
  • Citations
    • ABNT:
      ADAMS, J. A.; WHITEMAN, K.; MCGRAW, S. Reducing Missed Appointments for Patients With HIV: An Evidence-Based Approach. Journal of Nursing Care Quality, [s. l.], v. 35, n. 2, p. 165–170, 2020. DOI 10.1097/NCQ.0000000000000434. Disponível em: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=rzh&AN=142036651. Acesso em: 9 ago. 2020.
    • AMA:
      Adams JA, Whiteman K, McGraw S. Reducing Missed Appointments for Patients With HIV: An Evidence-Based Approach. Journal of Nursing Care Quality. 2020;35(2):165-170. doi:10.1097/NCQ.0000000000000434
    • APA:
      Adams, J. A., Whiteman, K., & McGraw, S. (2020). Reducing Missed Appointments for Patients With HIV: An Evidence-Based Approach. Journal of Nursing Care Quality, 35(2), 165–170. https://doi.org/10.1097/NCQ.0000000000000434
    • Chicago/Turabian: Author-Date:
      Adams, Judith Ann, Kimberly Whiteman, and Samantha McGraw. 2020. “Reducing Missed Appointments for Patients With HIV: An Evidence-Based Approach.” Journal of Nursing Care Quality 35 (2): 165–70. doi:10.1097/NCQ.0000000000000434.
    • Harvard:
      Adams, J. A., Whiteman, K. and McGraw, S. (2020) ‘Reducing Missed Appointments for Patients With HIV: An Evidence-Based Approach’, Journal of Nursing Care Quality, 35(2), pp. 165–170. doi: 10.1097/NCQ.0000000000000434.
    • Harvard: Australian:
      Adams, JA, Whiteman, K & McGraw, S 2020, ‘Reducing Missed Appointments for Patients With HIV: An Evidence-Based Approach’, Journal of Nursing Care Quality, vol. 35, no. 2, pp. 165–170, viewed 9 August 2020, .
    • MLA:
      Adams, Judith Ann, et al. “Reducing Missed Appointments for Patients With HIV: An Evidence-Based Approach.” Journal of Nursing Care Quality, vol. 35, no. 2, Apr. 2020, pp. 165–170. EBSCOhost, doi:10.1097/NCQ.0000000000000434.
    • Chicago/Turabian: Humanities:
      Adams, Judith Ann, Kimberly Whiteman, and Samantha McGraw. “Reducing Missed Appointments for Patients With HIV: An Evidence-Based Approach.” Journal of Nursing Care Quality 35, no. 2 (April 2020): 165–70. doi:10.1097/NCQ.0000000000000434.
    • Vancouver/ICMJE:
      Adams JA, Whiteman K, McGraw S. Reducing Missed Appointments for Patients With HIV: An Evidence-Based Approach. Journal of Nursing Care Quality [Internet]. 2020 Apr [cited 2020 Aug 9];35(2):165–70. Available from: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=rzh&AN=142036651