COVID-19 and Nurse-Sensitive Indicators: Using Performance Improvement Teams to Address Quality Indicators During a Pandemic.

J Nurs Care Qual

Perioperative and Interventional Services and Professional Nursing Practice (Dr Stifter), Professional Nursing Practice (Dr Sermersheim and Mss Ellsworth and Silvestri), Hematology/Oncology/Stem Cell Transplant, Department of Medicine (Ms Dowding), Department of Medicine (Ms Day), Departments of Adult General Surgery and Medicine (Ms Margwarth), Patient Care Services (Mr Korkmaz and Dr Abraham), Wound/Ostomy Continence Service (Mss Walkowiak, Boudreau, and Hernandez), Rehabilitation Services (Mr Harbert and Dr Ambutas), and Guest Relations (Mr Shaw), Rush University Medical Center, Chicago, Illinois.

Published: February 2021

Background: Nurse-sensitive quality indicators have historically been used as a metric of nursing care quality in health care organizations.

Problem: At our academic medical center, critically ill COVID-19 patients led to a dramatic change in the organizational standard of care resulting in an increase in nurse-sensitive health care-associated infections.

Approach: Nursing performance improvement teams provided the structure for development of innovative strategies implemented in real time by our frontline clinicians to address the quality and safety issues found with these elevated health care-associated infections.

Outcomes: A new COVID-19 CLABSI (central line-associated bloodstream infection) Tip Sheet and a Prone Positioning Kit for HAPI Prevention are strategies developed to address quality of care issues experienced with the COVID-19 patients.

Conclusions: Deployment of these innovative practice strategies has led to a decline in health care-associated infections and instituted a new care standard for the COVID-19 patients.

Download full-text PDF

Source
http://dx.doi.org/10.1097/NCQ.0000000000000523DOI Listing

Publication Analysis

Top Keywords

address quality
12
health care-associated
12
performance improvement
8
improvement teams
8
quality indicators
8
covid-19 patients
8
covid-19
5
quality
5
care
5
covid-19 nurse-sensitive
4

Similar Publications

In order to investigate the impact of hot air (HA) treatment on the sugars and volatiles in postharvest nectarine fruit, nectarines were treated with HA at 40 °C for 4 h and stored at 1 °C for 35 days. Changes of sugars, free and glycosidically bound volatiles, β-glucosidase (β-Glu) activity, and the gene expression of UGT (UDP-glucosyltransferase) in nectarine fruit were determined. The results showed that compared with CK, HA treatment delayed the firmness decline of 48.

View Article and Find Full Text PDF

Genome-wide identification of UDP-glycosyltransferases involved in flavonol glycosylation induced by UV-B irradiation in Eriobotrya japonica.

Plant Physiol Biochem

January 2025

College of Agriculture & Biotechnology, Zhejiang University, Hangzhou, 310058, China; Zhejiang Key Laboratory of Horticultural Crop Quality Improvement, Zhejiang University, Hangzhou, 310058, China. Electronic address:

Flavonol glycosides are secondary metabolites important for plant development and stress defense such as UV-B irradiation. UDP-glycosyltransferase (UGT) catalyzes the last step in the biosynthesis of flavonol glycosides. Eriobotrya japonica is abundant in flavonol glycosides, but UGTs responsible for accumulation of flavonol glycosides remain unknown.

View Article and Find Full Text PDF

In the present study, the effects of glucono-δ-lactone (GDL) as an acid reagent during thermal treatment on the quality of alkaline dough and steamed buns were examined. During the heating process, GDL improved the viscoelasticity and fluidity of the alkaline dough and enhanced intermolecular hydrogen bonding. The hardness of steamed buns was reduced by 61.

View Article and Find Full Text PDF

Distinguishing abiotic corrosion from two types of microbiologically influenced corrosion (MIC) using a new electrochemical biofilm/MIC test kit.

J Environ Manage

January 2025

Department of Chemical & Biomolecular Engineering, Institute for Corrosion and Multiphase Technology, Ohio University, Athens, 45701, USA; Department of Biological Sciences, Molecular & Cellular Biology Program, Ohio University, Athens, OH, 45701, USA. Electronic address:

Biofilms can cause biofouling, water quality deterioration, and transmission of infectious diseases. They are also responsible for microbiologically influenced corrosion (MIC) which can cause leaks, resulting in environmental disasters. A new disposable biofilm/MIC test kit was demonstrated to distinguish abiotic corrosion of carbon steel from MIC.

View Article and Find Full Text PDF

Efficiency Analysis of Healthcare Systems in Latin American and Caribbean Countries: An Application Based on Data Envelopment Analysis.

Value Health Reg Issues

January 2025

Departamento de Ingeniería Informática, Facultad de Ingeniería, Universidad de Santiago de Chile, Santiago, Chile.

Objectives: Despite the increasing investments in Latin American healthcare, the corresponding improvement in population health is not proportional. This discrepancy may be attributed to the efficiency of resource utilization. This study used the data envelopment analysis (DEA) methodology to assess the efficiency of healthcare systems in 23 Latin American and Caribbean countries.

View Article and Find Full Text PDF

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!