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 patient satisfaction using Lean Six Sigma's define, measure, analyze, improve, and control (DMAIC) framework with a pre-/postintervention design. RESULTS:There was a statistically significant decrease in wait times (P < .0019) and an increase in patient satisfaction scores in 3 areas: registration wait times (from 17 to 99 percentiles), test/treatment (from 19 to 60 percentiles), and likelihood to recommend (from 6 to 97 percentiles). CONCLUSIONS:Lean Six Sigma was an effective framework for use in decreasing wait times and improving patient satisfaction.
journal_name
J Nurs Care Qualjournal_title
Journal of nursing care qualityauthors
Godley M,Jenkins JBdoi
10.1097/NCQ.0000000000000332subject
Has Abstractpub_date
2019-01-01 00:00:00pages
61-65issue
1eissn
1057-3631issn
1550-5065journal_volume
34pub_type
杂志文章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
pub_type: 杂志文章
doi:10.1097/NCQ.0000000000000357
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
pub_type: 杂志文章
doi:10.1097/NCQ.0b013e31824f0e3b
更新日期:2012-07-01 00:00:00
abstract:BACKGROUND:Some hospitals seek integration with skilled nursing facilities (SNFs) to reduce readmissions while others focus more on patients discharged home. PURPOSE:Our objective was to understand different approaches for readmission reduction for patients discharged to SNFs based on contrasting strategies from 2 com...
journal_title:Journal of nursing care quality
pub_type: 杂志文章
doi:10.1097/NCQ.0000000000000459
更新日期:2021-01-01 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::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::Pediatric nurse practitioners in school-based clinics have the potential to overcome access to care barriers for school-age children and their families by providing primary health care and linking these services with existing health and social services in the community. The article reports a study that examined health...
journal_title:Journal of nursing care quality
pub_type: 杂志文章
doi:10.1097/00001786-199704000-00008
更新日期:1997-04-01 00:00:00
abstract::The health care team identified the causes of health care-associated infections (HAI) and developed interventions in a pediatric intensive care unit in Gaza. A quasi-experimental pretest-posttest design was used. All 26 full-time staff members in the pediatric intensive care unit participated. The HAI rate decreased s...
journal_title:Journal of nursing care quality
pub_type: 杂志文章
doi:10.1097/NCQ.0000000000000079
更新日期:2015-01-01 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::This study describes nurse perceptions about medication errors. Findings reveal that there are differences in the perceptions of nurses about the causes and reporting of medication errors. Causes include illegible physician handwriting and distracted, tired, and exhausted nurses. Only 45.6% of the 983 nurses believed ...
journal_title:Journal of nursing care quality
pub_type: 杂志文章
doi:10.1097/00001786-200407000-00007
更新日期:2004-07-01 00:00:00
abstract:BACKGROUND:To ensure successful integration and implementation of evidence into practice, validation of measures and interventions should be performed in the population and setting in which they will be used. PURPOSE:This article provides a method for evaluating the predictive performance of a risk tool using the Hest...
journal_title:Journal of nursing care quality
pub_type: 杂志文章
doi:10.1097/NCQ.0000000000000503
更新日期:2020-07-10 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
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更新日期:2000-07-01 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
pub_type: 杂志文章
doi:10.1097/00001786-199404000-00006
更新日期:1994-04-01 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
pub_type: 杂志文章
doi:10.1097/00001786-199908000-00002
更新日期:1999-08-01 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
pub_type: 杂志文章
doi:10.1097/NCQ.0b013e318210d30a
更新日期:2011-10-01 00:00:00
abstract::Postpartum urinary retention is a common condition in obstetric units. A Clinical Practice Guideline was implemented in a high-risk obstetrical unit to decrease variance of clinical practice, rate of postpartum urinary retention, and number of urinary catheterizations and increase awareness of this common condition. G...
journal_title:Journal of nursing care quality
pub_type: 杂志文章
doi:10.1097/NCQ.0000000000000087
更新日期:2015-04-01 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
pub_type: 杂志文章
doi:10.1097/00001786-199702000-00005
更新日期:1997-02-01 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::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
pub_type: 杂志文章
doi:10.1097/NCQ.0000000000000236
更新日期:2017-07-01 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
pub_type: 杂志文章
doi:10.1097/NCQ.0b013e3182a71d43
更新日期:2014-01-01 00:00:00
abstract::A patient satisfaction survey at Missouri Baptist Medical Center revealed that patients experiencing a vaginal delivery needed to wait for their medications and did not consistently receive adequate information about medications. Furthermore, a chart review noted that physicians ordered a wide variety of medications f...
journal_title:Journal of nursing care quality
pub_type: 杂志文章
doi:10.1097/00001786-199904000-00006
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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
pub_type: 杂志文章
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journal_title:Journal of nursing care quality
pub_type: 杂志文章
doi:10.1097/NCQ.0b013e3181a55872
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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
pub_type: 杂志文章
doi:10.1097/NCQ.0b013e3182a79ca9
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abstract::One of the key factors for organizational success is service excellence. Nursing service has been proved to be a pivotal factor in the overall patient satisfaction rating on hospital surveys. The article describes a service improvement implemented by one nursing service that improved patient satisfaction survey result...
journal_title:Journal of nursing care quality
pub_type: 杂志文章
doi:10.1097/00001786-199610000-00011
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abstract::Workplace bullying is strongly associated with negative nursing outcomes, such as work dissatisfaction, turnover, and intent to leave; however, results of studies examining associations with specific patient safety outcomes are limited or nonspecific. This integrative review explores and synthesizes the published arti...
journal_title:Journal of nursing care quality
pub_type: 杂志文章,评审
doi:10.1097/NCQ.0000000000000209
更新日期:2017-04-01 00:00:00
abstract::This study was designed to develop a psychometrically sound measure of nurses' evaluation of patient care delivered. The Nurses' Assessment of Quality Scale-Acute Care Version (NAQS-ACV), derived from the qualitative interviews of acute care nurses, was initially 138 items formatted as a Likert-type scale and administ...
journal_title:Journal of nursing care quality
pub_type: 杂志文章
doi:10.1097/01.NCQ.0000290414.42640.c0
更新日期:2007-10-01 00:00:00
abstract::Falls are the most common cause of injury deaths and nonfatal injuries in older adults. In an effort to detect a resident's movement, many nursing homes use bed or chair alarms to alert staff that the resident may get up and possibly fall. However, there is little evidence that bed or chair alarms prevent falls, and m...
journal_title:Journal of nursing care quality
pub_type: 杂志文章
doi:10.1097/NCQ.0b013e3182aa6f86
更新日期:2014-01-01 00:00:00
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journal_title:Journal of nursing care quality
pub_type: 杂志文章,随机对照试验
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更新日期:2017-07-01 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::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
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