Blood Pressure Screening in Faith Communities: A Quality Improvement Project.

There is a direct relationship between elevated blood pressure and cardiovascular disease, so screening for elevated blood pressure is an essential nursing activity. This quality improvement project involving faith community nurses (FCNs) in 24 congregations and other sites tracked readings of blood pressures taken, referrals made, and education sessions provided during a 21-month period. Surveys revealed the project increased participants' awareness about screenings, FCN services, and evidence-based protocols, in addition to identifying high-risk congregants for care and treatment.

Faith community nursing: real care, real cost savings.

At a time when healthcare costs are increasing more than other aspects of the economy, churches are stepping up to help fill needs through congregational health ministries. Faith Community Nursing (FCN) is a rapidly growing health service in the churches of many denominations. This article documents healthcare services and financial savings provided by FCNs and health ministries, showing the critical role faith community nursing can play in containing healthcare costs.

Computer versus paper system for recognition and management of sepsis in surgical intensive care.

Background: A system to provide surveillance, diagnosis, and protocolized management of surgical intensive care unit (SICU) sepsis was undertaken as a performance improvement project. A system for sepsis management was implemented for SICU patients using paper followed by a computerized system. The hypothesis was that the computerized system would be associated with improved process and outcomes.

Acute kidney injury is surprisingly common and a powerful predictor of mortality in surgical sepsis.

Background: Acute kidney injury (AKI) is a common and often catastrophic complication in hospitalized patients; however, the impact of AKI in surgical sepsis remains unknown. We used Risk, Injury, Failure, Loss, End stage (RIFLE) consensus criteria to define the incidence of AKI in surgical sepsis and characterize the impact of AKI on patient morbidity and mortality.

Methods: Our prospective, institutional review board-approved sepsis research database was retrospectively queried for the incidence of AKI by RIFLE criteria, excluding those with chronic kidney disease.

Computer protocol facilitates evidence-based care of sepsis in the surgical intensive care unit.

Background: Care of sepsis has been the focus of intense research and guideline development for more than two decades. With ongoing success of computer protocol (CP) technology and with publication of Surviving Sepsis Campaign (SSC) guidelines, we undertook protocol development for management of sepsis of surgical intensive care unit patients in mid-2006.

Methods: A sepsis protocol was developed and implemented in The Methodist Hospital (TMH) (Houston, TX) surgical intensive care unit (27 beds) together with a sepsis research database.