Quality improvement in nursing homes: testing of an alarm elimination program.

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：:The impact of altered nutritional status is costly. Surgical patients have 2-3 times the risk of complications, length of stay is extended by 90%, and charges are 35-75% higher. Risk factors are numerous; therefore, collaboration among all members of the health care team is required to impact patient outcomes positive...

journal_title：Journal of nursing care quality

authors： Cole C,Bigando K,DeSutter S

更新日期：2000-01-01 00:00:00

abstract：:This quality improvement project evaluates the effectiveness of implementing an evidence-based alcohol withdrawal protocol in an acute care setting. Patient outcomes, length of stay, and nurses' knowledge and satisfaction with care are compared pre- and postimplementation. Implementation resulted in significant reduct...

journal_title：Journal of nursing care quality

authors： Holt C,Dearmon V,Lawrence SM,Lewis CL,Skotzko CE

更新日期：2017-07-01 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：:This study developed and piloted a patient-centered pressure ulcer prevention care bundle for adult hospitalized patients to promote patient participation in prevention. The care bundle had 3 core messages: (1) keep moving, (2) care for your skin, and (3) ensure a good diet. A brief video, combined brochure/checklist,...

journal_title：Journal of nursing care quality

authors： Gillespie BM,Chaboyer W,Sykes M,O'Brien J,Brandis S

更新日期：2014-01-01 00:00:00

abstract：:Increasing reliance on physical restraint devices within hospital settings can be attributed to many reasons, perhaps including litigation. Restraint use represents a quality improvement issue; therefore, a review of all studies involving restraints in acute care settings was conducted. Results of a descriptive study ...

journal_title：Journal of nursing care quality

authors： Janelli LM

更新日期：1995-04-01 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：:The article describes a study that measured, over a 3-month period, staffing problems, including turnover rates; nurse incidents, including absenteeism, back injuries, and needle sticks; and patient incidents, including falls and medication errors. The self-reported stress of the nurses caring for these patients was r...

journal_title：Journal of nursing care quality

authors： Dugan J,Lauer E,Bouquot Z,Dutro BK,Smith M,Widmeyer G

更新日期：1996-04-01 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：:Ever rising patient acuity, new nursing staff practitioners, and cumbersome documentation processes potentially impact quality of care. Nurse managers are challenged to utilize creative strategies to minimize risk potential and improve patient outcomes. One 36-bed medical/ surgical/telemetry unit focused on improving ...

journal_title：Journal of nursing care quality

authors： Horak D,Hollabaugh S,Duffy T

更新日期：2003-04-01 00:00:00

abstract：:This study analyzed risk factors for medication/near-miss errors in the neonatal intensive care unit by using Grey Relational Analysis based on self-incident reports from staff nurses. The ASSESS-ERR Medication System Worksheet was used. A total of 156 medication/near-miss errors were found across 5 stages of the medi...

journal_title：Journal of nursing care quality

authors： Zhang X,Lee SY,Chen J,Liu H

更新日期：2017-07-01 00:00:00

abstract：:The purpose of this study was to evaluate the outcomes of a telephone call service (TCS) for ambulatory surgery patients. Three outcomes were evaluated: patient satisfaction, patients' perceptions of the value of a TCS intervention, and nurses' perceptions of difficulties in implementing it. The results indicated that...

journal_title：Journal of nursing care quality

authors： Chen CH,Ma HJ,Yen M,Li SF,Liu LC

更新日期：2007-07-01 00:00:00

abstract：:This secondary analysis evaluated the association of operating room scrub staff expertise, based on frequency of working on a specific surgical procedure, with the development of surgical site infections. The odds of developing surgical site infections decreased by 5.7% (odds ratio = 0.943; 95% confidence interval, 0....

journal_title：Journal of nursing care quality

authors： Bathish M,McLaughlin M,Talsma A

更新日期：2015-04-01 00:00:00

abstract：:This article describes a hospital unit's successful central line-associated bloodstream infection reduction project. The focus is on decreasing and sustaining a low rate of infection by targeting improvement in central line maintenance. The Consolidated Framework for Implementation Research's 5 interacting domains (th...

journal_title：Journal of nursing care quality

authors： Jones CM,Stewart C,Roszell SS

更新日期：2015-01-01 00:00:00

abstract：:The purpose of this study was to explore the effectiveness of a cardiac rehabilitation program (phase II) in improving participants' quality of life (QOL). Existing data collected previously by a not-for-profit rural community hospital using the SF-36 tool were analyzed. The secondary data consisted of precardiac and ...

journal_title：Journal of nursing care quality

authors： Aude T,Hill PD,Anderson MA

更新日期：2006-01-01 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：: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：: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：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：:The goal to develop and implement a new model of nursing care delivery grew out of administrative and shared governance initiatives to improve the quality of nursing care. This evaluative study used both quantitative and qualitative methods. Seven principles related to quality were identified and became the driving fo...

journal_title：Journal of nursing care quality

authors： Nardone PL,Markie JW,Tolle S

更新日期：1995-10-01 00:00:00

abstract：:This descriptive and cross-sectional study included 561 nurses in hospitals located in Istanbul, Turkey. The Patient Safety Questionnaire was used for data collection. The type of hospital and the amount of education nurses obtained about patient safety and quality improvement were positively associated with patient s...

journal_title：Journal of nursing care quality

authors： Turkmen E,Baykal U,Intepeler SS,Altuntas S

更新日期：2013-10-01 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：:Implementation of clinical paths has resulted in a successful multidisciplinary approach for monitoring quality improvement outcomes in a select group of cardiovascular patients. This article defines clinical paths and explains their development, implementation, and evaluation. It also discusses how variances (which a...

journal_title：Journal of nursing care quality

authors： Rudisill PT,Phillips M,Payne CM

更新日期：1994-04-01 00:00:00

abstract：:Research on staffing and quality of care in long-term care facilities confirms that adequate staffing levels are important to ensuring quality but few studies have examined how the two are linked. The research reported in this article used participant observation and indepth interviewing to explore how nurse aides (NA...

journal_title：Journal of nursing care quality

authors： Bowers BJ,Esmond S,Jacobson N

更新日期：2000-07-01 00:00:00

abstract：:Because of their involvement in the transport, handling, preparation, administration, or disposal of hazardous medications, health care workers across multiple settings are at risk for adverse health consequences from exposure to these drugs. This review presents evidence-based strategies to mitigate the harmful expos...

journal_title：Journal of nursing care quality

authors： Crickman R,Finnell D

更新日期：2016-04-01 00:00:00

abstract：:Nurse managers are seeking ways to improve patient safety in their organizations. At the same time, they struggle to address nurse recruitment and retention concerns by focusing on the quality of nurses' work environment. This exploratory study tested a theoretical model, linking the quality of the nursing practice en...

journal_title：Journal of nursing care quality

authors： Armstrong KJ,Laschinger H

更新日期：2006-04-01 00:00:00

abstract：BACKGROUND:The paradigm shift that has occurred for patients with total hip (THA) and knee (TKA) arthroplasty through enhanced recovery programs underscores the need for redesigning care provision. LOCAL PROBLEM:In this hospital, the patient outcomes and experience anticipated from the implementation of enhanced recov...

journal_title：Journal of nursing care quality

authors： Burley G,Torres L,Heligman J

更新日期：2020-04-01 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：:This article presents the implementation and 1-year evaluation of a staff nurse-driven initiative addressing a Joint Commission patient safety imperative to improve the consistency of handoff communication. An interdepartmental ticket was developed and implemented through a planned process. The interdepartmental ticke...

journal_title：Journal of nursing care quality

authors： Roberts M,Putnam J,Raup GH

更新日期：2012-07-01 00:00:00

abstract：:Evidence links the amount of registered nurse care to improved patient outcomes in large hospitals, but little is known about registered nurse staffing in small critical access hospitals, which comprise 30% of all US hospitals. Our study findings show that the unique work environment of critical access hospitals means...

journal_title：Journal of nursing care quality

authors： Cramer ME,Jones KJ,Hertzog M

更新日期：2011-10-01 00:00:00