Decay in blood loss estimation skills after web-based didactic training.

Introduction: Accuracy in blood loss estimation has been shown to improve immediately after didactic training. The objective of this study was to evaluate retention of blood loss estimation skills 9 months after a didactic web-based training.

Methods: Forty-four participants were recruited from a cohort that had undergone web-based training and testing in blood loss estimation.

When nursing takes ownership of financial outcomes: achieving exceptional financial performance through leadership, strategy, and execution.

With nurses and unlicensed supportive personnel composing the greatest percentage of the workforce at any hospital, it is not surprising nursing leadership plays an increasing role in the attainment of financial goals. The nursing leadership team at one academic medical center reduced costs by more than $10 million over 4 years while outperforming national benchmarks on nurse-sensitive quality indicators. The most critical success factor in attaining exceptional financial performance is a personal and collective accountability to achieving outcomes.

The effect of live and web-based education on the accuracy of blood-loss estimation in simulated obstetric scenarios.

Objective: Visual estimation of blood loss has been shown to be inaccurate. The objective of this study was to evaluate the impact of a didactic training program on the accuracy of the estimation of blood loss and to compare the effectiveness of training provided by a web-based vs live session.

Study Design: Multidisciplinary labor and delivery unit personnel participated in live or web-based training.

Implementing an "always practice" to redefine skin care management.

With a nosocomial pressure ulcer rate higher than national benchmarks, leaders convened a quality improvement team to address the issue. The authors discuss the implementation of a new skin "always practice" initiative across the continuum of care and its outcomes.