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.

scholarly journals Telemetry Nurses Knowledge of Alarm Fatigue and Interventions for Change: An Education Program Development

2018 ◽  
Author(s):  
Samantha Cruz
Keyword(s):  
Quality Improvement ◽  
Program Development ◽  
Educational Intervention ◽  
Educational Program ◽  
Development Project ◽  
Quality Improvement Project ◽  
Improvement Project ◽  
Alarm Fatigue ◽  
Post Test ◽  
Nurses Knowledge

Alarm fatigue is known to be one of the top safety concerns in the healthcare setting. The Joint Commission recognized Alarm safety as one of the 2017 National Patient Safety Goals. Alarm fatigue occurs when a healthcare worker becomes overwhelmed and often desensitized to patient monitor alarms. It has been established that interventions including ECG daily electrode and battery changes, skin prep for electrode placement, and adjusting alarm parameters to fit patient needs can lead to a reduction in false or nuisance alarms. In order for these interventions to be carried out successfully, education of nurses regarding alarm fatigue and interventions for change needs to be completed. Education is one of the most important phases of creating change. The purpose of this program development project was to determine the effectiveness of an educational program on alarm fatigue awareness for telemetry unit nurses. A program development project was developed utilizing a pre-test, educational intervention, and a post-test design. Tests were used to evaluate the nurses’ knowledge improvement related to the educational intervention. Sixteen out of a possible 60 telemetry nurses completed the pretest portion of this quality improvement project. (N=16, 26.6%). Fourteen of a possible 60 nurses attended the educational session and completed the post-test portion of this quality improvement project. (N=14, 23%). For the purpose of presenting the first four questions, only those tests with matching pre-and-post responses were utilized, (N=14). The mean scores from pre-tests were 51.2% and mean post-test scores were 92% which revealed an increase by 40.8% after an educational intervention. The APRN can assist in establishing and implementing an educational program. This educational program can help to implement interventions and provide evidenced based research to support the prevention of alarm fatigue.

scholarly journals Increasing Staff Nurse Knowledge Related to Organ and Tissue Donation: A Quality Improvement Project

2016 ◽  
Author(s):  
Carly Shields-Pirri
Keyword(s):  
Quality Improvement ◽  
Organ Donation ◽  
Educational Program ◽  
Quality Improvement Project ◽  
Tissue Donation ◽  
Staff Nurse ◽  
Improvement Project ◽  
Organ And Tissue Donation ◽  
Post Test ◽  
Organ Tissue

<p>Initially viewed as doubtful and plagued with uncertainty, the process of organ/tissue transplantation has proved to be one of the most successful medical breakthroughs of modern medicine. From the initial documented success of organ/tissue donation and subsequent transplantation, the need for organ/tissue donation exceeds the available resources. Many individuals are aware of the need for organ/tissue donation for life-saving transplantation but do not take the necessary steps to become a donor or share that desire with family and/or loved ones. There are no national programs or efforts in place for standardized nursing education about organ/tissue donation and transplantation. The purpose of this quality improvement project was to increase nurses’ knowledge of the New England Organ Bank (NEOB) guidelines for organ and tissue donation. The project design was a pre-test, an educational program, and post-test. Twenty-two nurses completed the pre-test component (N=22, 63%) and fourteen nurses completed the post-test (N=14, 40%). Results indicated nurses had better overall better knowledge of organ donation then specifically tissue donation. Nursing staff demonstrated increased knowledge of NEOB guidelines and the nurse’s role in timely reporting after the educational program on organ donation with improved post-test over pre-test scores. Future replication of education related to NEOB guidelines for donation of organs and tissues and nurse responsibility for timely reporting should increase emphasis on the area of tissue donation. A need based assessment to determine specific areas of deficit may aid in promoting positive outcomes in future replication.</p>

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 Nurses' Knowledge of Hypoglycemia and Treatment in the Adult Hospitalized Patiend with Diabetes: A Quality Improvement Project

2017 ◽  
Author(s):  
Brittney O'Neale
Keyword(s):  
Quality Improvement ◽  
Test Scores ◽  
Educational Program ◽  
Care Setting ◽  
Diabetic Patients ◽  
Acute Care Setting ◽  
Improvement Project ◽  
Post Test ◽  
Hospital Protocols ◽  
Nurses Knowledge

<p>There are currently more than 29 million people in the United States with diabetes. With increasing numbers of diabetic patients across the nation, it is imperative that health care professionals receive the knowledge and skills required to manage them in the acute care setting. Hypoglycemia is the most common side effect of diabetes treatment (Borzi et al., 2016) and is defined by the American Diabetes Association (ADA) as a condition that occurs when one's blood glucose is lower than normal, usually less than 70 mg/dl. Nurses’ knowledge of hypoglycemia and their adherence to hospital protocols are essential to achieving positive patient outcomes. Research demonstrates that nurses in the acute care setting are not receiving consistent formal training on the care of adult diabetic patients and sometimes fail treat the patient according to evidence based hospital protocols. The purpose of this quality improvement project was to increase nurses’ knowledge of hypoglycemia and treatment in the adult hospitalized patient with diabetes. The project design was a pre-test, educational program and post-test on two medical-surgical units in a small community hospital in Rhode Island. Seventeen nurses completed the pre-test component (N=17, 22%) and eighteen nurses (N=18, 23%) attended the educational program and completed the post-test. Pre-test scores ranged from 11 to 94 out of a possible 100, with a mean score of 59.8%. Post-test scores ranged from 27 to 100, with a mean score of 76.5%. The average of post-test scores increased by about 16.7%. These findings suggest that providing hypoglycemia education can be successful in increasing nurses’ knowledge of hypoglycemia treatment and management in the adult hospitalized patient with diabetes.</p>

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