"The less-than-perfect medication system": a systems approach to improvement.

abstract：:Researchers, providers and government agencies have devoted time and resources to the development of a set of Quality Indicators derived from Minimum Data Set (MDS) data. Little effort has been directed toward verifying that Quality Indicators derived from MDS data accurately measure nursing home quality. Researchers ...

journal_title：Journal of nursing care quality

authors： Rantz MJ,Popejoy L,Mehr DR,Zwygart-Stauffacher M,Hicks LL,Grando V,Conn VS,Porter R,Scott J,Maas M

更新日期：1997-12-01 00:00:00

abstract：:Application of research findings to clinical care has been advocated to improve quality of care and patient outcomes. This article discusses a method to evaluate the translation of research findings in support of evidence-based care. An exemplar of a brief intervention in primary care for high-risk drinkers is used. ...

journal_title：Journal of nursing care quality

authors： Hyman Z,Crosby F

更新日期：2010-01-01 00:00:00

abstract：:While much of the research on falls has focused on the ambulatory elderly, little is known about wheelchair-related falls that occur in persons with disabilities. A thorough understanding of wheelchair-related falls would include the demographics, the mechanism and nature of the fall event, and the nature of any resul...

journal_title：Journal of nursing care quality

authors： Gavin-Dreschnack D,Nelson A,Fitzgerald S,Harrow J,Sanchez-Anguiano A,Ahmed S,Powell-Cope G

更新日期：2005-04-01 00:00:00

abstract：:This article discusses techniques used at Staten Island University Hospital to help automate manual data collection for performance improvement reports and outcomes analysis. If data must be collected manually, it is time to take a look at information available in your hospital's information system. ...

journal_title：Journal of nursing care quality

authors： Johnson DI,Mooney K,DiStefano M,Sullivan M,Haber D,Kalriess G

更新日期：1998-08-01 00:00:00

abstract：BACKGROUND:Teamwork training has been identified as an intervention to promote collaboration, improve communication, and reduce conflict. While teamwork training has been implemented in the clinical setting, most schools of nursing are lacking in standardized teamwork training programs. LOCAL PROBLEM:A lack of teamwor...

journal_title：Journal of nursing care quality

authors： Cooke M,Valentine NM

更新日期：2020-08-18 00:00:00

abstract：BACKGROUND:Despite evidence of the positive impact of the clinical nurse leader (CNL) role, implementation of supplemental nursing roles has proven to be challenging due to unclear role explanations and organizational unfamiliarity. PROBLEM:Nurses practice in a dynamic environment and need to cope with the rapid pace ...

journal_title：Journal of nursing care quality

authors： Hatley A,Ralyea T,Buttriss GO,Rankin VL

更新日期：2019-07-01 00:00:00

abstract：:Hospitalized adult patients are at increased risk for adverse outcomes, particularly when undergoing invasive procedures that include indwelling urinary catheterization. This study identified factors associated with nurses' adoption of an evidence-based practice to reduce the duration of catheterization and potential ...

journal_title：Journal of nursing care quality

authors： Conner BT,Kelechi TJ,Nemeth LS,Mueller M,Edlund BJ,Krein SL

更新日期：2013-10-01 00:00:00

abstract：:Nurses as patients or caregivers evaluated their care differently than nonnurses. A qualitative design with content analysis was used to provide an assessment of the quality of nursing care by examining nurses' perceptions as recipients of care. The 231 participants were registered nurses recruited from 8 hospitals in...

journal_title：Journal of nursing care quality

authors： Elayan RM,Ahmad MM

更新日期：2017-10-01 00:00:00

abstract：:Recognizing that little is known about use of quality improvement (QI) processes to enhance care of the dying, 11 large hospices exchanged information about their QI programs. These hospices reported monitoring from 3 to 50 outcomes measured by various indicators and methods. Agencies that related QI to their organiza...

journal_title：Journal of nursing care quality

authors： D'Onofrio CN,National Hospice Work Group.

更新日期：2001-07-01 00:00:00

abstract：:Partnering with the patient in the planning and delivery of care to achieve high-quality outcomes is a goal shared by health care providers. The achievement of a full partnership with the patient often varies based on the communication skills of individual nurses. To provide more consistency, Patient Standards of Care...

journal_title：Journal of nursing care quality

authors： Cramer D,Tucker SM

更新日期：1995-01-01 00:00:00

abstract：BACKGROUND:Health care organizations are designing comprehensive care programs to reduce hospital utilization by high-risk patients with multiple chronic illnesses. LOCAL PROBLEM:A community hospital recognized patients with multiple chronic conditions had higher rates of inpatient stays and emergency department (ED) ...

journal_title：Journal of nursing care quality

authors： Allen A,Frederick L,Hovey SL

更新日期：2021-01-01 00:00:00

abstract：:Building a knowledgebase regarding multicultural beliefs and practices will help health care providers meet the challenge of caring for persons of diverse cultures. It is evident that developing greater multicultural awareness will also help health care workers improve patient care. For this reason, an Interdisciplina...

journal_title：Journal of nursing care quality

authors： Peterson R,Whitman H,Smith J

更新日期：1997-08-01 00:00:00

abstract：:Cognitive and functional impairments are leading predictors of poor outcomes in hospitalized older adults. This study reports adoption rates of 9 Assessing Care of Vulnerable Elders quality indicators in a sample of US hospitals (N = 128). Chief nursing officers were surveyed using a 6-point scale (no activity to full...

journal_title：Journal of nursing care quality

authors： Maxwell CA,Mion LC,Dietrich MS,Fallon WF,Minnick A

更新日期：2014-10-01 00:00:00

abstract：BACKGROUND:Implementing Nursing Bedside Shift Report (NBSR) is challenging for nurse leaders. Before implementing or improving NBSR, nurse leaders need a clear understanding of the process and functions of nursing shift report. However, the social-cultural latent functions (unrecognized or unintended uses) of NBSR are ...

journal_title：Journal of nursing care quality

authors： Manges KA,Groves PS

更新日期：2019-07-01 00:00:00

abstract：:The ability to understand medication and consistently follow a prescribed medical regimen varies among the general population. The Department of Nursing at Mohawk Valley Psychiatric Center developed a medication self-administration program to help consumers gain knowledge and/or improve their ability to participate in...

journal_title：Journal of nursing care quality

authors： Visalli H,Johnstone L,Lazzaro CA,Kasky S

更新日期：1997-02-01 00:00:00

abstract：:This study examined hostility, spirituality, and indices of health risk among 100 young, primarily males of Hispanic background. Over half of the subjects were prehypertensive or hypertensive; one third had at least 2 objective risk factors for cardiac disease; and younger participants had lower spirituality scores an...

journal_title：Journal of nursing care quality

authors： Sethness R,Rauschhuber M,Etnyre A,Gilliland I,Lowry J,Jones ME

更新日期：2005-01-01 00:00:00

abstract：:Continuous quality improvement (CQI), staff education, and patient education are essential, interrelated components of nursing practice that share the common goal of improved patient outcomes. The nurses of the Nashville Veterans' Administration Medical Center dialysis unit effectively combined these activities to imp...

journal_title：Journal of nursing care quality

authors： Heard K

更新日期：1994-10-01 00:00:00

abstract：:Home mechanical ventilation was once a remote idea and thought to be used only in extreme cases. However, patient preference as well as limited financial resources to care for these patients in a long-term setting is forcing acute care facilities and families to make the choice of home care. This article describes how...

journal_title：Journal of nursing care quality

authors： Warren ML,Jarrett C,Senegal R,Parker A,Kraus J,Hartgraves D

更新日期：2004-01-01 00:00:00

abstract：:We conducted a feasibility study to test an intervention to reduce medication omissions without documentation using nurse-initiated recall cards and medication chart checking at handover. No significant difference in the omission rate per 100 medications was found, although after adjusting for hospital and patient age...

journal_title：Journal of nursing care quality

authors： Johnson M,Sanchez P,Zheng C,Chapman B

更新日期：2017-07-01 00:00:00

abstract：:Depression affects 14% to 46% of homebound elderly and is costly and disabling. Home health agencies face significant challenges delivering effective depression care. In response, an evidence-based depression care model was developed in a home health agency. Twelve-month program evaluation data demonstrated a 2.99 mea...

journal_title：Journal of nursing care quality

authors： Madden-Baer R,McConnell E,Rosati RJ,Rosenfeld P,Edison I

更新日期：2013-01-01 00:00:00

abstract：BACKGROUND:As the level of acuity of pediatric hospital admissions continues to increase, additional pressure is being placed on hospital resources and the nursing workforce. LOCAL PROBLEM:Currently, there is no formalized approach to care for high-acuity patients on our pediatric inpatient unit. METHODS:We used a qu...

journal_title：Journal of nursing care quality

authors： Cassidy C,MacEachern L,Egar J,Best S,Foley L,Rowe ME,Curran J

更新日期：2019-10-01 00:00:00

abstract：:In an effort to prevent medication errors, barcode medication administration technology has been implemented in many health care organizations. An integrative review was conducted to understand the effect of barcode medication administration technology on medication errors, and characteristics of use demonstrated by n...

journal_title：Journal of nursing care quality

authors： Strudwick G,Reisdorfer E,Warnock C,Kalia K,Sulkers H,Clark C,Booth R

更新日期：2018-01-01 00:00:00

abstract：BACKGROUND:There is a paucity of evidence-based, posthospital stroke care in the United States proven to reduce preventable hospital readmissions. LOCAL PROBLEM:Follow-up with a provider after hospitalization for stroke or transient ischemic attack had low compliance rates. This may contribute to preventable readmissi...

journal_title：Journal of nursing care quality

authors： McClain JV 4th,Chance EA

更新日期：2020-04-01 00:00:00

abstract：:Prevention of pressure ulcers is an ongoing concern. This article reports on the evaluation and usage of a new positioning device that adapts to the contours of the body and led to a decrease in the incidence of nosocomial pressure ulcers in a cardiothoracic intensive care unit. ...

journal_title：Journal of nursing care quality

authors： Brennan MR,Laconti D,Gilchrist R

更新日期：2014-04-01 00:00:00

abstract：:Recent changes in the Surgical Care Improvement Project guideline require blood glucose values be less than 180 mg/dL 18 to 24 hours after anesthesia end time after cardiac surgery. Our study compares the first group of patients transitioned off IV insulin on postoperative day 1, 24 hours after anesthesia end time, wh...

journal_title：Journal of nursing care quality

authors： Westbrook A,Sherry D,McDermott M,Gobber M,Pabst M

更新日期：2016-10-01 00:00:00

abstract：:Diabetes mellitus affects approximately 16 million people in the United States. Despite the publication of multiple guidelines, the delivery of care has not substantially changed. This article describes a program at Advocate Health Care to improve the delivery of care to individuals with Type 2 diabetes mellitus in an...

journal_title：Journal of nursing care quality

authors： Ludwig-Beymer P,Arndt DM

更新日期：1999-08-01 00:00:00

abstract：:The nursing and pharmacology literature of 1988 to 1992 generally encouraged a change in nursing practice with regard to maintenance of peripheral intravenous access devices in adults. Although recommendations were based on data, methodological limitations in many studies prevented enthusiastic change from heparinized...

journal_title：Journal of nursing care quality

authors： Reineck C,Reineck TC Jr

更新日期：1996-07-01 00:00:00

abstract：BACKGROUND:The importance of staff working life for staff well-being has been demonstrated in several studies; less research has focused on staff working life and older persons' satisfaction with care. PURPOSE:The study aim was to study relationships between 1) staff assessments of their structural conditions/empowerm...

journal_title：Journal of nursing care quality

authors： Engström M,Högberg H,Strömberg A,Hagerman H,Skytt B

更新日期：2021-01-01 00:00:00

abstract：BACKGROUND:Hospital-acquired pneumonia is now the number one hospital-acquired infection. Hospitals have addressed ventilator-associated pneumonia; however, patients not on a ventilator acquire more pneumonia with significant associated mortality rates. LOCAL PROBLEM:In our hospital, non-ventilator-associated pneumoni...

journal_title：Journal of nursing care quality

authors： Baker D,Quinn B,Ewan V,Giuliano KK

更新日期：2019-07-01 00:00:00

abstract：:Preliminary data developed by the Health Care Financing Administration under its pilot cooperative cardiovascular screening project indicate that 50 percent of Medicare heart attack patients arriving in emergency departments who are appropriate for thrombolytic therapy do not receive it within the time period specifie...

journal_title：Journal of nursing care quality

authors： Oetker D,Cole C

更新日期：1996-01-01 00:00:00