Improving veteran access to lung cancer care (IVaLuCancerCare): A quality improvement project at the Louis Stokes Cleveland VA Medical Center (LSVAMC).

2015 ◽  
Vol 33 (15_suppl) ◽  
pp. 6530-6530
Author(s):  
Rami Manochakian ◽  
Jennifer Smith ◽  
Stephanie Mervar ◽  
Deborah Fox ◽  
Kauzy Woods ◽  
...  
Keyword(s):  
Lung Cancer ◽  
Quality Improvement ◽  
Cancer Care ◽  
Medical Center ◽  
Quality Improvement Project ◽  
Improvement Project

scholarly journals Physical Therapist–Established Intensive Care Unit Early Mobilization Program: Quality Improvement Project for Critical Care at the University of California San Francisco Medical Center

2013 ◽  
Vol 93 (7) ◽  
pp. 975-985 ◽  
Author(s):  
Heidi J. Engel ◽  
Shintaro Tatebe ◽  
Philip B. Alonzo ◽  
Rebecca L. Mustille ◽  
Monica J. Rivera
Keyword(s):  
Quality Improvement ◽  
Physical Therapy ◽  
San Francisco ◽  
Physical Therapist ◽  
Medical Center ◽  
Early Mobilization ◽  
Quality Improvement Project ◽  
Improvement Project ◽  
Icu Admission ◽  
Number Of Patients

Background Long-term weakness and disability are common after an intensive care unit (ICU) stay. Usual care in the ICU prevents most patients from receiving preventative early mobilization. Objective The study objective was to describe a quality improvement project established by a physical therapist at the University of California San Francisco Medical Center from 2009 to 2011. The goal of the program was to reduce patients' ICU length of stay by increasing the number of patients in the ICU receiving physical therapy and decreasing the time from ICU admission to physical therapy initiation. Design This study was a 9-month retrospective analysis of a quality improvement project. Methods An interprofessional ICU Early Mobilization Group established and promoted guidelines for mobilizing patients in the ICU. A physical therapist was dedicated to a 16-bed medical-surgical ICU to provide physical therapy to selected patients within 48 hours of ICU admission. Patients receiving early physical therapy intervention in the ICU in 2010 were compared with patients receiving physical therapy under usual care practice in the same ICU in 2009. Results From 2009 to 2010, the number of patients receiving physical therapy in the ICU increased from 179 to 294. The median times (interquartile ranges) from ICU admission to physical therapy evaluation were 3 days (9 days) in 2009 and 1 day (2 days) in 2010. The ICU length of stay decreased by 2 days, on average, and the percentage of ambulatory patients discharged to home increased from 55% to 77%. Limitations This study relied upon the retrospective analysis of data from 6 collectors, and the intervention lacked physical therapy coverage for 7 days per week. Conclusions The improvements in outcomes demonstrated the value and feasibility of a physical therapist–led early mobilization program.

scholarly journals Nurse Telephone Follow-up Post Initial Chemotherapy: A Quality Improvement Project

2017 ◽  
Author(s):  
Katie Cherenzia
Keyword(s):  
Quality Improvement ◽  
Side Effects ◽  
Cancer Care ◽  
Outpatient Setting ◽  
Quality Improvement Project ◽  
Educational Activity ◽  
Hospital Inpatient ◽  
Improvement Project ◽  
Post Evaluation

<p>With the evolution of cancer care and chemotherapy agents over the last 15 years there has been an evident shift in care from the inpatient to the ambulatory setting. There is a growing need for cancer care, particularly in the ambulatory (outpatient) setting. Patients receiving chemotherapy in the outpatient setting return home immediately after completing treatment and do not have direct medical and nursing supervision to monitor for and address side effects or adverse reactions of treatment in a hospital inpatient setting. Nurse telephone follow-up post initial chemotherapy allows for assessment and timely management of potential side effects experienced after the administration of chemotherapy in the outpatient setting. The purpose of this quality improvement project was to develop a standardized nurse telephone follow-up procedure post initial chemotherapy. The author developed an electronic script guideline and documentation tool along with a process for conducting the nurse-initiated calls. The project design included an educational activity and a post evaluation of the telephone follow-up procedure. Fifteen biotherapy/chemotherapy nurses participated in a four week pilot. During the four week pilot period 14 out of 34 first time chemotherapy patients received telephone follow-up utilizing the script guidelines. Ten nurses (N=10, 67%) completed the post evaluation survey. Results indicated that overall the script guidelines for telephone follow-up post initial chemotherapy was well received by staff and utilized appropriately. Replication of this project should include examining the impact of telephone follow-up on patient satisfaction and outcomes. The APRN is essential in promoting evidence-based practice and bringing it into the daily practices of staff nurses to improve the quality of care for patients and their families.</p>

scholarly journals Assessment of serum calcium in ­patients referred for suspected lung cancer: A quality ­improvement project to enhance patient safety in clinical practice

2021 ◽  
Vol 8 (1) ◽  
pp. e109-e112
Author(s):  
Christina Apthorp ◽  
Sagana Kirisnathas ◽  
Nikolaos Stavrakas ◽  
Isuru Warakagoda ◽  
Stephen Crooks ◽  
...  
Keyword(s):  
Lung Cancer ◽  
Patient Safety ◽  
Quality Improvement ◽  
Clinical Practice ◽  
Serum Calcium ◽  
Quality Improvement Project ◽  
Improvement Project ◽  
Enhance Patient Safety
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