scholarly journals Evaluation of an Educational Outreach and Audit and Feedback Program to Reduce Continuous Pulse Oximetry Use in Hospitalized Infants With Stable Bronchiolitis

2021 ◽  
Vol 4 (9) ◽  
pp. e2122826
Author(s):  
Amanda C. Schondelmeyer ◽  
Amanda P. Bettencourt ◽  
Rui Xiao ◽  
Rinad S. Beidas ◽  
Courtney Benjamin Wolk ◽  
...  
Keyword(s):  
Pulse Oximetry ◽  
Audit And Feedback ◽  
Educational Outreach ◽  
Continuous Pulse ◽  
Feedback Program

scholarly journals Prevalence of Continuous Pulse Oximetry Monitoring in Hospitalized Children With Bronchiolitis Not Requiring Supplemental Oxygen

JAMA ◽  
2020 ◽  
Vol 323 (15) ◽  
pp. 1467 ◽  
Author(s):  
Christopher P. Bonafide ◽  
Rui Xiao ◽  
Patrick W. Brady ◽  
Christopher P. Landrigan ◽  
Canita Brent ◽  
...  
Keyword(s):  
Pulse Oximetry ◽  
Supplemental Oxygen ◽  
Hospitalized Children ◽  
Continuous Pulse

scholarly journals Results of the CHlorhexidine Gluconate Bathing implementation intervention to improve evidence-based nursing practices for prevention of central line associated bloodstream infections Study (CHanGing BathS): a stepped wedge cluster randomized trial

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Staci S. Reynolds ◽  
Patricia Woltz ◽  
Edward Keating ◽  
Janice Neff ◽  
Jennifer Elliott ◽  
...  
Keyword(s):  
Implementation Strategies ◽  
Bloodstream Infections ◽  
Central Line ◽  
Audit And Feedback ◽  
Educational Outreach ◽  
Evidence Based ◽  
Intervention Effect ◽  
Cluster Randomized ◽  
Outreach Visits ◽  
Educational Outreach Visits

Abstract Background Central line-associated bloodstream infections (CLABSIs) result in approximately 28,000 deaths and approximately $2.3 billion in added costs to the U.S. healthcare system each year, and yet, many of these infections are preventable. At two large health systems in the southeast United States, CLABSIs continue to be an area of opportunity. Despite strong evidence for interventions to prevent CLABSI and reduce associated patient harm, such as use of chlorhexidine gluconate (CHG) bathing, the adoption of these interventions in practice is poor. The primary objective of this study was to assess the effect of a tailored, multifaceted implementation program on nursing staff’s compliance with the CHG bathing process and electronic health record (EHR) documentation in critically ill patients. The secondary objectives were to examine the (1) moderating effect of unit characteristics and cultural context, (2) intervention effect on nursing staff’s knowledge and perceptions of CHG bathing, and (3) intervention effect on CLABSI rates. Methods A stepped wedged cluster-randomized design was used with units clustered into 4 sequences; each sequence consecutively began the intervention over the course of 4 months. The Grol and Wensing Model of Implementation helped guide selection of the implementation strategies, which included educational outreach visits and audit and feedback. Compliance with the appropriate CHG bathing process and daily CHG bathing documentation were assessed. Outcomes were assessed 12 months after the intervention to assess for sustainability. Results Among the 14 clinical units participating, 8 were in a university hospital setting and 6 were in community hospital settings. CHG bathing process compliance and nursing staff’s knowledge and perceptions of CHG bathing significantly improved after the intervention (p = .009, p = .002, and p = .01, respectively). CHG bathing documentation compliance and CLABSI rates did not significantly improve; however, there was a clinically significant 27.4% decrease in CLABSI rates. Conclusions Using educational outreach visits and audit and feedback implementation strategies can improve adoption of evidence-based CHG bathing practices. Trial registration ClinicalTrials.gov, NCT03898115, Registered 28 March 2019.

CONTINUOUS PULSE OXIMETRY IN THE POST-ANESTHESIA CARE UNIT

1990 ◽  
Vol 70 (Supplement) ◽  
pp. S77 ◽  
Author(s):  
M D Daley ◽  
M E Colaenares ◽  
A N Sandler ◽  
P H Norman
Keyword(s):  
Pulse Oximetry ◽  
Anesthesia Care ◽  
Post Anesthesia Care Unit ◽  
Continuous Pulse

scholarly journals Continuous Pulse Oximetry Does Not Measure Blood Pressure

2018 ◽  
Vol 126 (3) ◽  
pp. 1089-1090 ◽  
Author(s):  
Frank J. Overdyk ◽  
Suzanne J. L. Broens
Keyword(s):  
Blood Pressure ◽  
Pulse Oximetry ◽  
Measure Blood Pressure ◽  
Continuous Pulse

scholarly journals Parental preference and perspectives on continuous pulse oximetry in infants and children with bronchiolitis

2018 ◽  
Vol Volume 12 ◽  
pp. 483-487 ◽  
Author(s):  
Mohamed Hendaus ◽  
Suzan Nassar ◽  
Bassil Leghrouz ◽  
Ahmed Alhammadi ◽  
Mohammed Alamri
Keyword(s):  
Pulse Oximetry ◽  
Infants And Children ◽  
Parental Preference ◽  
Continuous Pulse ◽  
In Infants And Children

scholarly journals Continuous Pulse Oximetry Monitoring in Bronchiolitis Patients Not Receiving Oxygen—Reply

JAMA ◽  
2020 ◽  
Vol 324 (13) ◽  
pp. 1350
Author(s):  
Amanda P. Bettencourt ◽  
Amanda C. Schondelmeyer ◽  
Christopher P. Bonafide
Keyword(s):  
Pulse Oximetry ◽  
Continuous Pulse
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