Now showing items 1-10 of 255
A Quality Improvement Plan to Decrease Acute Care Transfers through Better Staff Communication about Status Changes Among Assisted Living Residents
Elderly residents of assisted living facilities (ALFs) are generally frail and may have multiple comorbidities (National Center for Assisted Living, 2010). Inadequate communication of changes in resident status precludes ...
Increasing Patient Safety using Positive Patient Identification and Bedside Specimen Scanning
A hospital located in the Northeastern United States, has an opportunity to improve the number of specimens that are mislabeled. Mislabeled specimens increase costs, create patient inconvenience and can lead to unnecessary ...
Quality Improvement Program: Implementation of Chronic Care Management Services in an Affordable Care Organization
Chronic diseases are the leading cause of death and disability in the United States each year. According to the Group Health Research Institute (2015), almost one-half of all Americans have one or more chronic health ...
The Case for Procedural Capnography
In health care today, patient safety is a top priority. Regarding procedural sedation, one specific tool that improves patient safety is waveform capnography. The use of capnography can improve patient safety and outcomes. It offers a passive, yet continuous method to monitor a patient’s respiratory status while undergoing nurse-administered moderate sedation. Capnography gives indication much faster as compared to clinician recognition alone of respiratory, as well as, cardiac events. With overwhelming lack of proper training related to new technical devices such a capnography, a sound developmental training program regarding the use of capnography can positively effect patient safety and outcomes. This project attempts to answer the following question. In registered nurses administering procedural sedation (P), how does a nursing education program (I) regarding use of end-tidal CO2 monitoring decrease the occurrence of adverse events or outcomes by nursing staff's use of capnography (C), compared to the absence of end-tidal co2 monitoring (O), over a period of four weeks(T)? The development of an education program regarding capnography for eight registered nurses in an endoscopy unit proves that with the appropriate instructive intervention, nurses can effectively utilize the capnography device as a sixth vital sign. The knowledge gained by the educational initiative provides framework for policy development regarding use of capnography for all procedures that require sedation. ...
The Effects of An Anticoagulation Program on Patient Compliance Following Total Joint Replacement
Patients undergoing major orthopedic surgery have shown the potential for deep vein thrombosis (DVT) ranging from 46% to 60% postoperatively. To avoid this risk, home rehabilitation is recommended, including nursing and/or ...
A Process Evaluation of an Outpatient Palliative Care Program: A Quality Improvement Project
Palliative care has evolved from providing care for patients near end-of-life into a specialized discipline focused on addressing the physical, emotional, social, and spiritual needs of patients throughout the trajectory of an illness. For patients with metastatic cancer, timely referrals to palliative care are essential in order to have a meaningful impact on their quality of life. Recommendations for screening patients for palliative care have been offered by professional organizations; however, screening all patients with metastatic cancer poses many challenges. This quality improvement project conducted a process evaluation of an outpatient palliative care program and evaluated the feasibility of utilizing a screening tool in an effort to readily identify patients with metastatic cancer that have palliative care needs in an outpatient cancer center. Although nurses’ compliance with the screening tool was less than expected, screening for palliative care needs in this setting resulted in more referrals to palliative care compared to physician referrals. Improvements in quality of life were found in patients who received a palliative care consultation and patients were very satisfied with the care provided by palliative care. The potential for financial improvements was observed as a result of this project. Key words: palliative care, metastatic cancer, screening, process evaluation...
Care Transitions: Are Healthcare Organizations Meeting the Needs of Their Patients?
Acute care healthcare organizations struggle to identify and implement interventions to support the transition of care between hospital and home settings. One organization piloted a quality improvement (QI) project using ...
Overutilization of CT Scans of the Brain in Nursing Home Patients Post Fall
Manuscript contains abstract
Teach-back and Its Impact on Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS)
Successful patient outcomes rely heavily on patient engagement, patient/family education, and promotion of self-management. Teach-back methodology offers the healthcare team a proven technique to determine learner's health ...
A Correlation Between Pre-Admission Preparation and Same-Day Surgery Cancellations
Patients undergoing surgical procedures must have adequate surgical preparation for anesthesia, procedures, and post-operative care to avoid cancellation. The primary focus of this quality improvement project was to determine ...