Date of Conferral
2-10-2026
Degree
Doctor of Nursing Practice (DNP)
School
Nursing
Advisor
Corinne Romano
Abstract
Same-day outpatient procedural cancellations represent a persistent challenge for healthcare organizations, negatively affecting patient safety, access, operational efficiency, and financial performance. This Doctor of Nursing Practice (DNP) executive leadership project proposes the implementation of a nurse-led, artificial intelligence (AI)–enhanced preprocedural readiness program within an outpatient procedural department. The initiative integrates standardized nurse-led readiness checklists, AI-supported clinical decision support embedded in the electronic health record, structured nurse-led outreach, and standardized patient and staff education to proactively identify and address preventable barriers to procedural readiness. Internal organizational data identified a sustained same-day cancellation rate of approximately 22%, with most cancellations attributable to modifiable clinical, logistical, and social determinants of health–related factors. Guided by evidence from nurse-led preprocedural readiness models and a logic model framework, the project emphasizes systems-level leadership, interdisciplinary collaboration, informatics integration, and financial stewardship. Anticipated outcomes include a reduction in preventable same-day cancellations, improved patient preparedness and safety, enhanced workflow reliability, and positive return on investment. This nurse-led, AI-enhanced model exemplifies nursing’s critical role in advancing quality, equity, and accountability through executive-level systems improvement.
Recommended Citation
Magramo, Walter, "Program Proposal for a Nurse Led Pre-Procedure Readiness Program" (2026). Walden Dissertations and Doctoral Studies. 19164.
https://scholarworks.waldenu.edu/dissertations/19164
