1. Improving Breast Diagnostic Services with a Rapid Access Diagnostic and Support (RADS) Program
- Author
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Salome Shin, Jennifer Smylie, Ranjeeta Mallick, James M. Watters, Jean M. Seely, Angel Arnaout, Kathy Knight, Tim Ramsey, and Susan J. Robertson
- Subjects
medicine.medical_specialty ,Nursing support ,Breast Neoplasms ,Pilot Projects ,Multidisciplinary team ,Breast cancer ,Surgical oncology ,Rapid access ,medicine ,Humans ,Medical physics ,Breast ,skin and connective tissue diseases ,Early Detection of Cancer ,Neoplasm Staging ,Retrospective Studies ,Gynecology ,business.industry ,Carcinoma, Ductal, Breast ,Middle Aged ,Prognosis ,medicine.disease ,Diagnostic Services ,Radiographic Image Enhancement ,Carcinoma, Lobular ,Oncology ,Female ,Surgery ,business ,Follow-Up Studies ,Mammography - Abstract
The diagnostic phase of care is an anxiety-provoking and stressful experience for the potential breast cancer patient. A multidisciplinary team of breast cancer specialists embarked on a new initiative to pilot a Rapid Diagnosis and Support (RADS) Clinic to coordinate the diagnostic workup and nursing support for patients with a high probability of breast cancer.Consecutive patients with an initial diagnostic imaging classified as BI-RADS 5 were invited to participate in this 1-year prospective study. Coordination of diagnostic imaging workup and nursing support were provided by a nurse navigator. Wait times were evaluated at several intervals of care. Satisfaction surveys were given to study participants and compared to scores from patients who did not go through RADS clinic.A total of 211 patients participated in the RADS clinic. Biopsy wait times improved from a mean of 7 to 3 days (p0.001), pathology from 3.9 to 3.3 days (p0.001), surgical consultation from 16.1 to 5.9 days (p0.001), and operative wait times from 31.5 to 24.1 days (p = 0.042). There was a 95.3 % satisfaction rate with the RADS clinic with significantly improvement in patients' sense of an understanding of the treatment plan (p = 0.031), timeliness of tests (p = 0.045), and timeliness of results (p = 0.0419).The RADS clinic significantly improved diagnostic wait times and satisfaction scores for patients with a high probability of diagnosis of breast cancer and can serve as an innovative service delivery model for other breast care centers.
- Published
- 2013