scholarly journals PPIE in intervention studies: Randomized trials and clinical quality improvement

2020 ◽  
Vol 23 (1) ◽  
pp. 1-2 ◽  
Author(s):  
Joseph W. LeMaster
Keyword(s):  
Quality Improvement ◽  
Randomized Trials ◽  
Intervention Studies ◽  
Clinical Quality ◽  
Clinical Quality Improvement

scholarly journals 1157. GET IT OUT! Nurses and Clinical Quality Improvement Specialists Drive Initiative to Reduce Standardized Utilization Ratios for Indwelling Urinary Catheters in Hospitalized Patients

2019 ◽  
Vol 6 (Supplement_2) ◽  
pp. S413-S414
Author(s):  
Aldo Martinez ◽  
Deborah Parilla ◽  
Melissa Green ◽  
Anne Murphy ◽  
Sylvia Suarez-Ponce ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Urinary Tract ◽  
Night Shift ◽  
Healthcare Research ◽  
Hospitalized Patients ◽  
Urinary Catheters ◽  
Clinical Quality ◽  
Tract Infections ◽  
Clinical Quality Improvement ◽  
Critical Reviews

Abstract Background Urinary tract infections (UTIs) account for 34% of all healthcare-associated infections (HAI). Urinary catheters (UC) are placed in 15–25% of hospitalized patients and >75% of HAI UTIs are UC-related. Bacteria introduced via UC can colonize the bladder within 3 days. So, the greatest risk factor for acquiring a catheter-associated urinary tract infection (CAUTI) is prolonged use of indwelling UC. Nursing (RN) staff noted inconsistency with appropriate use of UC and commonly UC remained in place well after their original indication had expired. Methods As part of a multi-faceted approach for quality improvement and patient safety, we rolled out an Agency for Healthcare Research and Quality (AHRQ)-based initiative to reduce UC days/Standardized Utilization Ratio (SUR). Daily critical reviews of the indication for UC were conducted by two groups. First, frontline night shift RN staff identified patients who no longer had a valid justification for continued UC. They handed-off the information to day-shift RNs, who recommend removal of UC during daily rounds with the physician teams. A second review was performed by Clinical Quality Improvement Specialists (CQIS) based on defined criteria from our nursing decatheterization protocol. Their discontinue UC recommendations were also sent to the care teams. The critical reviews of UC for CAUTI reduction started with 4 ICUs in August 2018, with additional ICUs added in December, January and March. Monthly UC SURs were tracked Results Figure 1 shows the number of UCs recommended for removal by RNs vs. CQIS (bars), as well as the percent discordance between RNs and CQIS (line). CQIS identified many more removable UCs than the RNs (888 vs. 256). 211 UC were removed after RN recommendations, and an additional 386 UCs were removed as a result of the CQIS audits. Figure 2 shows the marked corresponding decline in our SUR over this intervention. Conclusion As more units participated in the initiative, we saw increasing numbers of “discontinue UC” recommendations. Over time there was also a moderate decrease in the discordance between RN and CQIS recommendations for UC removal. CQIS routinely identified many more UCs to be removed compared with RNs, and more than doubled the number of discontinued UC. Notably, the UC SUR markedly improved, decreasing from 0.98 to 0.78. Disclosures All authors: No reported disclosures.

Clinical quality improvement project: finding a repeatable approach for improving STAT lab testing

2003 ◽  
Vol 16 (2) ◽  
pp. 1-5
Author(s):  
Lynette Lutes ◽  
Sarvesh Logsetty ◽  
Jan McGuinness ◽  
Joan M. Carlson
Keyword(s):  
Quality Improvement ◽  
Pilot Project ◽  
Improvement Project ◽  
Clinical Quality ◽  
University Of Alberta ◽  
Improved Performance ◽  
The University ◽  
Culture Of Quality ◽  
Quality Process ◽  
Clinical Quality Improvement

Explores the development of a clinical quality improvement pilot project at the University of Alberta Hospital and Stollery Children’s Hospital which aimed to establish a team of individuals that could disseminate a culture of quality improvement and develop a framework for a quality process that could be replicated and repeated. Outcomes of the clinical pilot project included improved performance as well as opportunities to learn some key lessons around team membership and involvement.

Collaborative Clinical Quality Improvement for Pressure Ulcers in Nursing Homes

2007 ◽  
Vol 55 (10) ◽  
pp. 1663-1669 ◽  
Author(s):  
Joanne Lynn ◽  
Jeff West ◽  
Susan Hausmann ◽  
David Gifford ◽  
Rachel Nelson ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Nursing Homes ◽  
Pressure Ulcers ◽  
Clinical Quality ◽  
Clinical Quality Improvement

The Savings Illusion — Why Clinical Quality Improvement Fails to Deliver Bottom-Line Results

2011 ◽  
Vol 365 (26) ◽  
pp. e48 ◽  
Author(s):  
Stephen S. Rauh ◽  
Eric B. Wadsworth ◽  
William B. Weeks ◽  
James N. Weinstein
Keyword(s):  
Quality Improvement ◽  
Bottom Line ◽  
Clinical Quality ◽  
Clinical Quality Improvement

scholarly journals Reduction of late stillbirth with the introduction of fetal movement information and guidelines – a clinical quality improvement

2009 ◽  
Vol 9 (1) ◽  
Author(s):  
Julie Victoria Holm Tveit ◽  
Eli Saastad ◽  
Babill Stray-Pedersen ◽  
Per E Børdahl ◽  
Vicki Flenady ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Fetal Movement ◽  
Clinical Quality ◽  
Clinical Quality Improvement
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