Abstract:
:A quality improvement initiative across 21 hospitals incorporated a multidisciplinary approach, breakthrough collaborative methods, evidence-based improvement methods and care guidelines, front-line rapid improvement cycles, consistent process-of-care documentation, and real-time incidence data. Statistically significant decreases in both all-stage and stages III, IV, and unstageable hospital-acquired pressure ulcers rates have been sustained for 5 years.
journal_name
J Nurs Care Qualjournal_title
Journal of nursing care qualityauthors
Crawford B,Corbett N,Zuniga Adoi
10.1097/NCQ.0000000000000060subject
Has Abstractpub_date
2014-10-01 00:00:00pages
303-10issue
4eissn
1057-3631issn
1550-5065journal_volume
29pub_type
杂志文章abstract::The 1999 Institute of Medicine (IOM) report increased the focus by health care providers, regulators, and the public on the cause and effect of medical errors. The IOM report recognizes the complexity of the problem of medical errors and advocates a systematic approach to error reduction. Medication delivery systems i...
journal_title:Journal of nursing care quality
pub_type: 杂志文章
doi:10.1097/00001786-200207000-00004
更新日期:2002-07-01 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
pub_type: 杂志文章
doi:10.1097/00001786-200107000-00005
更新日期:2001-07-01 00:00:00
abstract::In general, the unannounced JCAHO survey is a more positive and patient-focused process than surveys in the past. Staff are able to demonstrate and explain what they actually do in their job on a day-to-day basis rather than stating policies. In the continuous survey-readiness process, there is less emphasis on docume...
journal_title:Journal of nursing care quality
pub_type: 杂志文章
doi:10.1097/00001786-200501000-00002
更新日期:2005-01-01 00:00:00
abstract:BACKGROUND:Proning intubated intensive care unit patients for the management of acute respiratory distress syndrome is an accepted standard of practice. We examined the nursing climate in 4 units and its impact on implementing a novel self-proning protocol to treat COVID-19 patients outside the intensive care unit. LO...
journal_title:Journal of nursing care quality
pub_type: 杂志文章
doi:10.1097/NCQ.0000000000000537
更新日期:2020-11-23 00:00:00
abstract:BACKGROUND:Frontline nurse engagement in quality improvement (QI) improves nurse-sensitive outcomes; yet research suggests frontline nurses are not engaging in QI. PURPOSE:The purpose of this study was to develop, refine, and psychometrically evaluate the Nursing Quality Improvement in Practice (N-QuIP) tool to measur...
journal_title:Journal of nursing care quality
pub_type: 杂志文章
doi:10.1097/NCQ.0000000000000457
更新日期:2020-10-01 00:00:00
abstract:BACKGROUND:Nursing interventions in oral hygiene have been shown to be important for health promotion and illness prevention. This medical center advanced a registered nurse (RN)-led oral health initiative to introduce and standardize oral care practices. PROBLEM:To examine the impact of the oral health initiative, we...
journal_title:Journal of nursing care quality
pub_type: 杂志文章
doi:10.1097/NCQ.0000000000000426
更新日期:2020-04-01 00:00:00
abstract::In 2002, the Winnipeg Regional Health Authority commissioned an external review for improvements to patient care. From this review arose the Achieving Benchmarks through Collaboration Project, which was composed of 32 projects and a number of subprojects. One such subproject dealt with the reconfiguration of the nursi...
journal_title:Journal of nursing care quality
pub_type: 杂志文章
doi:10.1097/00001786-200701000-00015
更新日期:2007-01-01 00:00:00
abstract:BACKGROUND:Patient satisfaction scores in the vascular interventional radiology department were low, especially related to wait times in registration and for tests/treatments, with low scores for intentions to recommend. PURPOSE:The purpose of our quality improvement project was to decrease wait times and improve pati...
journal_title:Journal of nursing care quality
pub_type: 杂志文章
doi:10.1097/NCQ.0000000000000332
更新日期:2019-01-01 00:00:00
abstract::Consumer-oriented health care report cards have emerged as a strategy to disseminate information to consumers about the quality of health plans and relative costs, with the goal of enabling them to make informed choices. While consumers have reported an interest in having access to this information, how they actually ...
journal_title:Journal of nursing care quality
pub_type: 杂志文章
doi:10.1097/00001786-199910000-00006
更新日期:1999-10-01 00:00:00
abstract::The modified early warning system (MEWS) is a scoring rubric used to detect the earliest signs of a change in a patient's condition. This mixed-methods study used pre- and postintervention data to describe the impact of the MEWS on the frequency of rapid response system activations and cardiopulmonary arrests among pa...
journal_title:Journal of nursing care quality
pub_type: 杂志文章
doi:10.1097/NCQ.0000000000000048
更新日期:2014-07-01 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
pub_type: 杂志文章,评审
doi:10.1097/00001786-199504000-00011
更新日期:1995-04-01 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
pub_type: 杂志文章
doi:10.1097/01.NCQ.0000277788.37180.a0
更新日期:2007-07-01 00:00:00
abstract::The Nursing Outcomes Classification (NOC) is a comprehensive taxonomy of patient outcomes influenced by nursing care. Each outcome is stated as a variable concept measured on a five-point Likert scale and includes a definition, indicators, and references. The classification provides outcomes that can be used across th...
journal_title:Journal of nursing care quality
pub_type: 杂志文章,评审
doi:10.1097/00001786-199806000-00005
更新日期:1998-06-01 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
pub_type: 杂志文章
doi:10.1097/NCQ.0000000000000076
更新日期:2015-01-01 00:00:00
abstract:BACKGROUND:A majority of sepsis cases originate in the home and community. Home health clinicians play an important role in the early identification and timely treatment of sepsis. LOCAL PROBLEM:A home health care provider sought to prevent hospital readmissions due to sepsis by implementing a sepsis-screening protoco...
journal_title:Journal of nursing care quality
pub_type: 杂志文章
doi:10.1097/NCQ.0000000000000525
更新日期:2020-10-19 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
pub_type: 杂志文章
doi:10.1097/NCQ.0000000000000231
更新日期:2017-07-01 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
pub_type: 杂志文章
doi:10.1097/NCQ.0b013e3182852ce7
更新日期:2013-10-01 00:00:00
abstract::The Rapid After Bypass Back Into Telemetry program is based on a simple clinical algorithm to predict same-day transfer of patients to the cardiac telemetry unit following cardiac surgery. This program proved to be an excellent predictor for decreased postoperative complications, shorter intensive care unit and hospit...
journal_title:Journal of nursing care quality
pub_type: 杂志文章
doi:10.1097/00001786-200607000-00014
更新日期:2006-07-01 00:00:00
abstract::There is increasing effort in promoting evidence-based practice (EBP) that supports the best possible care to patients and families. This article describes essential concepts for developing an environment of EBP and its implementation at a large pediatric hospital. Essential components for creating an EBP environment ...
journal_title:Journal of nursing care quality
pub_type: 杂志文章
doi:10.1097/01.NCQ.0000277778.43018.96
更新日期:2007-07-01 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
pub_type: 杂志文章,随机对照试验
doi:10.1097/NCQ.0000000000000229
更新日期:2017-07-01 00:00:00
abstract::Physical restraints have been the standard of practice to manage certain types of patient behavior, such as unstable mobility, wandering, agitation, and interference with medical treatment. However, this intervention is not without serious negative consequences. Patients with neurological disorders or injuries are oft...
journal_title:Journal of nursing care quality
pub_type: 杂志文章
doi:10.1097/00001786-199906000-00007
更新日期:1999-06-01 00:00:00
abstract::This study explored 150 critical care nurses' perceptions of patient safety standards in a selection of private, public, and university hospitals in Turkey. Quality management and patient safety programs were more prevalent in private hospitals. Private hospitals were also more likely to encourage reporting, have erro...
journal_title:Journal of nursing care quality
pub_type: 杂志文章
doi:10.1097/01.NCQ.0000336677.56089.24
更新日期:2008-10-01 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
pub_type: 杂志文章,多中心研究
doi:10.1097/00001786-200007000-00009
更新日期:2000-07-01 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
pub_type: 杂志文章
doi:10.1097/NCQ.0000000000000190
更新日期:2016-10-01 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
pub_type: 杂志文章
doi:10.1097/00001786-200601000-00012
更新日期:2006-01-01 00:00:00
abstract::Recent research has highlighted the impact of nursing care on patient outcomes. The link to staffing has also been documented for selected conditions. To date, efforts to establish nurse-sensitive measures have focused largely on adults. This article describes the project undertaken to select and pilot 2 pediatric ind...
journal_title:Journal of nursing care quality
pub_type: 杂志文章
doi:10.1097/00001786-200607000-00004
更新日期:2006-07-01 00:00:00
abstract:BACKGROUND:Nurses and other health care providers need to ensure that patients receive care that addresses their specific needs and wants. PURPOSE:This exploratory study examined the associations between patients' self-reported positive and negative affect, the perceived importance of 57 self-care actions, the desire ...
journal_title:Journal of nursing care quality
pub_type: 杂志文章
doi:10.1097/NCQ.0000000000000348
更新日期:2019-04-01 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
pub_type: 杂志文章
doi:10.1097/NCQ.0000000000000482
更新日期:2021-01-01 00:00:00
abstract:BACKGROUND:New graduate nurses transition with limited experience, and with anxiety and stress. They present an increased risk of contributing to preventable errors or adverse events. PURPOSE:The purpose was to develop an understanding of new graduate registered nurses' (RNs) patient safety knowledge and actions withi...
journal_title:Journal of nursing care quality
pub_type: 杂志文章
doi:10.1097/NCQ.0000000000000443
更新日期:2020-07-01 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
pub_type: 杂志文章
doi:10.1097/00001786-200501000-00013
更新日期:2005-01-01 00:00:00