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Nothing irritates cardiologists in cath and electrophysiology labs more than trip wires that bring workflow to an abrupt halt. Backups, bed shortages, AWOL equipment and interruptions can delay and disrupt procedures, undermine patient care and create waste. Many of these situations are avoidable, but sometimes, like it or not, slowdowns are necessary.
The greater good
Gregory J. Mishkel, MD, executive medical director of the Prairie Heart Institute in Springfield, Ill., knew changing the process for documenting appropriateness would not be popular with cardiologists at their eight inpatient and two outpatient catheterization labs. He recognized putting electronic quality control processes in place likely would be perceived as a burden by some of the 15 interventional...