Screening For Colorectal Cancer Screening

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RE: Results of APRN Peer Chart Review of Evidence Practice Guideline: `Colorectal cancer screening: percentage of members 50 to 75 years of age who had appropriate screening for colorectal cancel (National Committee for Quality Assurance [NCQA], 2015) (Healthcare Effectiveness Data and Information [HEDIS], 2016) Introduction: This memorandum presents the results of documented evidence-based standard care for colorectal cancer screening, found in a chart review for an advance registered nurse (APRN) peer preceptor. Peer chart review is particularly important to APRN practice because it offers opportunity to improve the quality of care provided to patients. Specific recommendations for the reviewed practice are also given. Delineation of care: Colorectal cancer is the second leading cause of cancer-related deaths among men and women in the United States (Centers for Disease Control and Prevention [CDC], 2016). Regular colorectal cancer screening can detect cancer early and reduce mortality (CDC, 2016). The United States Preventive Services Task Force (USPSTF) recommends screening for colorectal cancer in adults at age 50 to 75 years. Importance of peer review to APRNs: For many year peer review has been a part of nursing practice, and it facilitate the sharing of good practice, personal, and professional growth (Cisic & Frankovic, 2015). Advance practice registered nursing is a growing profession, and it is the APRN’s responsibility to ensure that care provided is evidence based. Peer review allows the APRN to discover and an... ... middle of paper ... ...thermore, semiannually peer chart review was suggested as the continuous quality improvement method for this busy practice. Recommendations and implications for all APRN practice: The peer review activity promotes a culture of best practice and yields creative solution. Use of peer review chart will assist this clinic to document the provision of evidence-based standard of care, and allow fellow APRNs to learn from each other. Lessons learned: My preceptor is a good teacher, but she has a very busy schedule. I felt uncomfortable to tell her about the peer review project at first. Surprisingly, she was very supportive when told her about the assignment. She was confident and encouraged me to always use evidence based practice. She valued my recommendations and shared it with the nurse manager. I learned from this assignment that there is always room for improvement.
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