scholarly journals A Quality Improvement Initiative to Increase Completion of Advance Directives in the Intensive Care Unit at a Community Teaching Hospital

2020 ◽  
Author(s):  
K.L. Walter ◽  
H. Joehl ◽  
T. Alrifai ◽  
M. Tyler
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Quality Improvement ◽  
Advance Directives ◽  
Teaching Hospital ◽  
Quality Improvement Initiative ◽  
Community Teaching

Advance Directives in the Medical Intensive Care Unit of a Community Teaching Hospital

CHEST Journal ◽  
1995 ◽  
Vol 107 (3) ◽  
pp. 752-756 ◽  
Author(s):  
Robert F. Johnson ◽  
Teresa Baranowski-Birkmeier ◽  
John B. O'Donnell
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Advance Directives ◽  
Teaching Hospital ◽  
Medical Intensive Care Unit ◽  
Medical Intensive Care ◽  
Community Teaching

A Quality Improvement Initiative to Provide Timely Central Vascular Access in a Neonatal Intensive Care Unit

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Kimberly Kristoff ◽  
Rui Wang ◽  
David Munson ◽  
Kevin Dysart ◽  
Stracuzzi Lauren ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Quality Improvement ◽  
Neonatal Intensive Care Unit ◽  
Vascular Access ◽  
Neonatal Intensive Care ◽  
Quality Improvement Initiative

scholarly journals Project Console: a quality improvement initiative for neonatal abstinence syndrome in a children’s hospital level IV neonatal intensive care unit

2021 ◽  
Vol 10 (2) ◽  
pp. e001079
Author(s):  
Kathryn L Ponder ◽  
Charles Egesdal ◽  
Joanne Kuller ◽  
Priscilla Joe
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Quality Improvement ◽  
Neonatal Intensive Care Unit ◽  
Neonatal Intensive Care ◽  
Neonatal Abstinence Syndrome ◽  
Quality Improvement Initiative ◽  
Abstinence Syndrome ◽  
Post Intervention ◽  
High Acuity

ObjectiveTo improve care for infants with neonatal abstinence syndrome.DesignInfants with a gestational age of ≥35 weeks with prenatal opioid exposure were eligible for our quality improvement initiative. Interventions in our Plan–Do–Study–Act cycles included physician consensus, re-emphasis on non-pharmacological treatment, the Eat Sleep Console method to measure functional impairment, morphine as needed, clonidine and alternative soothing methods for parental unavailability (volunteer cuddlers and automated sleeper beds). Pre-intervention and post-intervention outcomes were compared.ResultsLength of stay decreased from 31.8 to 10.5 days (p<0.0001) without an increase in readmissions. Composite pharmacotherapy exposure days decreased from 28.7 to 5.5 (p<0.0001). This included reductions in both morphine exposure days (p<0.0001) and clonidine exposure days (p=0.01). Fewer infants required pharmacotherapy (p=0.02).ConclusionsOur study demonstrates how a comprehensive initiative can improve care for infants with neonatal abstinence syndrome in an open-bay or a high-acuity neonatal intensive care unit when rooming-in is not available or other comorbidities are present.

scholarly journals Impact of a statewide intensive care unit quality improvement initiative on hospital mortality and length of stay: retrospective comparative analysis

BMJ ◽  
2011 ◽  
Vol 342 (jan28 1) ◽  
pp. d219-d219 ◽  
Author(s):  
A. Lipitz-Snyderman ◽  
D. Steinwachs ◽  
D. M. Needham ◽  
E. Colantuoni ◽  
L. L. Morlock ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Quality Improvement ◽  
Comparative Analysis ◽  
Length Of Stay ◽  
Hospital Mortality ◽  
Quality Improvement Initiative
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