Janet Stifter1, Emily Sermersheim, Mary Ellsworth, Erin Dowding, Elizabeth Day, Karen Silvestri, Jessica Margwarth, Kerem Korkmaz, Nicole Walkowiak, Lisa Boudreau, Laura Hernandez, Bryce Harbert, Shirley Ambutas, Aney Abraham, Phil Shaw. 1. 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.
Abstract
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.
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-19patients 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-19patients. 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-19patients.
Authors: Shiv A Patel; Ajay K Rajan; Ahad Azeem; Irene L Newquist; Lesley L Royal; Kimberly S Hemrick; Gia Thinh D Truong; Zachary A Creech; Faran Ahmad; Marvin J Bittner Journal: Infect Control Hosp Epidemiol Date: 2022-04-01 Impact factor: 6.520
Authors: Daphne Bloemberg; Selma C W Musters; Hanneke van der Wal-Huisman; Susan van Dieren; Els J M Nieveen van Dijkum; Anne M Eskes Journal: J Adv Nurs Date: 2022-06-14 Impact factor: 3.057