scholarly journals The impact of a sepsis quality improvement project on neurodisability rates in very low birthweight infants

2016 ◽  
Vol 101 (6) ◽  
pp. F562-F564 ◽  
Author(s):  
Jonathan W Davis ◽  
David Odd ◽  
Sally Jary ◽  
Karen Luyt
Keyword(s):  
Quality Improvement ◽  
Low Birthweight ◽  
Quality Improvement Project ◽  
Very Low Birthweight ◽  
Improvement Project ◽  
Very Low Birthweight Infants ◽  
The Impact

scholarly journals 0707 “What We’Ve Got Here Is Failure To Communicate”: Apnea Patients And Their DME Suppliers

SLEEP ◽  
2020 ◽  
Vol 43 (Supplement_1) ◽  
pp. A269-A269
Author(s):  
S Thapa ◽  
S Agrawal ◽  
M Kryger
Keyword(s):  
Quality Improvement ◽  
Sleep Apnea ◽  
Quality Improvement Project ◽  
Timely Manner ◽  
Improvement Project ◽  
Therapy Initiation ◽  
Obstructive Sleep ◽  
Key Factor ◽  
The Impact ◽  
The Relationship

Abstract Introduction Successful treatment of obstructive sleep apnea requires adherence to positive airway pressure (PAP) therapy. A key factor is the relationship between the DME provider and the patient so that treatment can be initiated and continued in a timely manner. Our quality improvement project aims to empower and enable patients towards active participation in their sleep apnea care. Our goal is to ultimately increase patients’ knowledge of their Durable Medical Equipment (DME) supplies company, and thus improve their treatment. The first step was to determine patients’ familiarity with their DME. Methods Forty-one patients with sleep apnea on PAP therapy volunteered to be questioned about their DME company during clinic visits at the Yale North Haven Sleep Center, Connecticut, starting November 2019. Patients were asked if they knew the name or the contact of their DME; whether they received adequate training on PAP therapy initiation; if they were receiving timely and correct PAP therapy supplies. They were asked to rate their satisfaction with the DME on a scale of 1 to 5; one being very dissatisfied and five being very satisfied. Results Only 12 out of 41 patients (29.3 percent) knew the names of their DME companies. The average satisfaction rating was 3 (neutral); 44% of patients were dissatisfied, or very dissatisfied with the performance of their DME. Detailed comments were mostly related to poor contact and communication with the DME. Conclusion Most apnea patients had difficulty identifying and contacting their DME. As the next step of this quality improvement project we plan to intervene to ensure that the patients have the name and contact information of their DME available and attached to their PAP machine equipment. We plan to repeat this questionnaire after this intervention to study the impact of this quality improvement project. Support None

scholarly journals Meet your surgical team: The impact of a resident-led quality improvement project on patient satisfaction

2018 ◽  
Vol 216 (4) ◽  
pp. 793-799
Author(s):  
Rebecca Craig-Schapiro ◽  
Sandra R. DiBrito ◽  
Heidi N. Overton ◽  
James P. Taylor ◽  
Ryan B. Fransman ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Patient Satisfaction ◽  
Quality Improvement Project ◽  
Surgical Team ◽  
Improvement Project ◽  
The Impact

The impact of operative timing on outcomes of appendicitis: a National Surgical Quality Improvement Project analysis

2015 ◽  
Vol 209 (3) ◽  
pp. 498-502 ◽  
Author(s):  
Brett A. Fair ◽  
John C. Kubasiak ◽  
Imke Janssen ◽  
Jonathan A. Myers ◽  
Keith W. Millikan ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Quality Improvement Project ◽  
Surgical Quality ◽  
Improvement Project ◽  
Project Analysis ◽  
The Impact

scholarly journals An Interdisciplinary Academic Detailing Approach to Decrease Inappropriate Medication Prescribing by Physician Residents for Older Veterans Treated in the Emergency Department

2017 ◽  
Vol 32 (2) ◽  
pp. 167-174 ◽  
Author(s):  
Jason M. Moss ◽  
William E. Bryan ◽  
Loren M. Wilkerson ◽  
Heather A. King ◽  
George L. Jackson ◽  
...  
Keyword(s):  
Older Adults ◽  
Emergency Department ◽  
Quality Improvement ◽  
Older Adult ◽  
Quality Improvement Project ◽  
Beers Criteria ◽  
Potentially Inappropriate Medications ◽  
Academic Detailing ◽  
Improvement Project ◽  
The Impact

Objective: To evaluate the impact of an academic detailing intervention delivered as part of a quality improvement project by a physician–pharmacist pair on (1) self-reported confidence in prescribing for older adults and (2) rates of potentially inappropriate medications (PIMs) prescribed to older adults by physician residents in a Veteran Affairs emergency department (ED). Methods: This quality improvement project at a single site utilized a questionnaire that assessed knowledge of Beers Criteria, self-perceived barriers to appropriate prescribing in older adults, and self-rated confidence in ability to prescribe in older adults which was administered to physician residents before and after academic detailing delivered during their emergency medicine rotation. PIM rates in the resident cohort who received the academic detailing were compared to residents who did not receive the intervention. Results: Sixty-three residents received the intervention between February 2013 and December 2014. At baseline, approximately 50% of the residents surveyed reported never hearing about nor using the Beers Criteria. A significantly greater proportion of residents agreed or strongly agreed in their abilities to identify drug–disease interactions and to prescribe the appropriate medication for the older adult after receiving the intervention. The resident cohort who received the educational intervention was less likely to prescribe a PIM when compared to the untrained resident cohort with a rate ratio of 0.73 ( P < .0001). Conclusion: Academic detailing led by a physician–pharmacist pair resulted in improved confidence in physician residents’ ability to prescribe safely in an older adult ED population and was associated with a statistically significant decrease in PIM rates.

scholarly journals Emergency Department Nurses Ability to Identify ST-Elevation Myocardial Infarction in Electrocardiogram: A Quality Improvement Project

2020 ◽  
Author(s):  
Bruce Gillard
Keyword(s):  
Quality Improvement ◽  
Educational Program ◽  
Quality Improvement Project ◽  
Test Design ◽  
Improvement Project ◽  
Emergency Department Nurses ◽  
Post Test ◽  
Baseline Knowledge ◽  
St Elevation ◽  
The Impact

A quality improvement project was developed using a pre-test, education intervention, post-test design to assess nurse’s ability identify STEMI ECGs from non-STEMI ECGs and to assess the impact of a brief educational program on nurses’ performance. The pre-tests were available to nursing staff over a two-week period to obtain the nurses’ baseline knowledge. Following the pre-test period nurses were provided the educational sessions followed immediately by distribution of the post-test. The pre-tests were then compared to the post-tests to assess whether or not the education improved nurses’ performance in STEMI recognition.

Reducing delays in the transfer of patients from psychiatric intensive care units (PICU) to acute inpatient services: a quality improvement project

2021 ◽  
Author(s):  
Alexander Challinor ◽  
Emily Lewis ◽  
Andrew Mitchell ◽  
Debbie Williams
Keyword(s):  
Intensive Care ◽  
Quality Improvement ◽  
Intensive Care Units ◽  
Quality Improvement Project ◽  
Traffic Light ◽  
Improvement Project ◽  
Transfer Of Care ◽  
Delayed Discharge ◽  
Open Wards ◽  
The Impact

Aim: To investigate the delays in the transfer of care of patients from psychiatric intensive care units (PICU) to acute care inpatient wards.Background: Few studies have focused on the characteristics of patients requiring transfer from PICU or delays in transfer of care from PICU to inpatient beds. The efficient transfer of patients from a PICU is essential to provide a dynamic service, promote patient recovery, enable safe, timely discharges and reduce stay in unnecessarily restrictive settings.Method: A 3-month prospective study was performed on two PICUs (Brooklands and Willow), investigating delays to transfer from PICUs to open wards. Days and percentage of discharges was also examined.Following collection of the initial data cycle, Brooklands implemented a ‘traffic light’ tool to identify delays. Following implementation, the project was repeated one year later.Results: A total of 122 patients were analysed for delays in the transfer of care from PICU to acute open wards. Brooklands PICU demonstrated a prolonged delay to transfer of patients, prompting implementation of a delayed discharge tool, the ‘traffic-light’ system. Brooklands PICU subsequently demonstrated a statistically significant improvement in the days to transfer.Conclusions: This quality improvement project adds to the limited research base for delays in the transfer of PICU patients and is the first study to implement a delayed discharge tool within a PICU. Further research is required on the transfer of patients from PICUs, examining barriers for these delays and the impact of this on patients within PICU.

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