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November 1984

A Nurse-Initiated Reminder System for the Periodic Health Examination: Implementation and Evaluation

Author Affiliations

From the Robert Wood Johnson Teaching Hospital General Medicine [ill]roup Practice, North Carolina Memorial Hospital, Chapel Hill, and the [ill]ivision of General Medicine and Clinical Epidemiology, University of [ill]orth Carolina at Chapel Hill. Dr Davidson is now with the Department of [ill]edicine, University of Florida, Gainesville.

Arch Intern Med. 1984;144(11):2167-2170. doi:10.1001/archinte.1984.04400020069012

• Implementation of specific health maintenance recom[ill]endations into practice settings has been difficult. We intro[ill]ucedd a nurse-initiated health maintenance reminder system [ill]to a university-based internal medicine practice setting. We [ill]en compared performance of selected items (Papanicolaou [ill]mear, stool examination for occult blood, breast examination, [ill]nd influenza immunization) in the practice before and after [ill]stitution of the system. The system required no additional [ill]ersonnel and was quickly learned by the nursing staff. There [ill]ere significant increases in the performance of stool ex[ill]mination for occult blood (32% to 47%), breast examination [ill]29% to 46% and influenza immunization (18% to 40%) after [ill]e reminder system was introduced. A nurse-initiated health [ill]aintenance reminder system is a feasible and effective [ill]ethod for implementing periodic health examination proce[ill]ures into a practice setting.

(Arch Intern Med 1984;144:2167-2170)

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