Continuous ST-Segment Monitoring: Nurses’ Attitudes, Practices, and Quality of Patient Care

Background Continuous ischemia monitoring helps identify patients with acute, but often silent, myocardial ischemia. Evidence suggests nurses do not activate ischemia monitoring because they think it is difficult to use. ST-Map software incorporates graphic displays to make monitoring of ongoing ischemia easier. Objectives To determine if nurses’ use of and attitude toward ischemia monitoring and the quality of patient care improve with use of ST-Map. Methods The study included 61 nurses and 202 patients with acute coronary syndrome in a cardiac intensive care unit. Baseline data on nurses’ use of and attitude toward ischemia monitoring and quality of care were obtained. Education was then provided and ST-Map software was installed on all monitors. Follow-up data were obtained 4 months later. Results The percentage of nurses who had ever used ischemia monitoring was 13% before ST Map and 90% afterward (P < .001). The most common reason for not using ischemia monitoring before ST Map was inadequate knowledge (62%). The most common reason for liking ischemia monitoring after ST Map was knowing when a patient has ischemia (80%). Time to acquisition of a 12-lead electrocardiogram in response to symptoms or ST-segment changes was 5 to 15 minutes before ST Map and always less than 5 minutes afterward (P < .001). Time to return to the catheterization laboratory did not differ before and after ST Map. Conclusions ST Map was associated with more frequent use of ischemia monitoring, improved attitudes of nurses toward ischemia monitoring, and shorter time to obtaining 12-lead electrocardiograms.

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Evaluating and Improving the Quality of Patient Care in the Cardiac Catheterization Laboratory at University Hospital Waterford

International Journal of Integrated Care ◽

10.5334/ijic.3862 ◽

2017 ◽

Vol 17 (5) ◽

pp. 542

Author(s):

Alma O' Connor ◽

Edel Cronin ◽

Christina Lambert ◽

Ralph Morris ◽

Karen Glynn ◽

...

Keyword(s):

Patient Care ◽

Cardiac Catheterization ◽

University Hospital ◽

Catheterization Laboratory ◽

Cardiac Catheterization Laboratory ◽

Quality Of Patient Care

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Usability Challenges with EHRs During Pre-Rounding in the Pediatric Acute Care Department

Proceedings of the Human Factors and Ergonomics Society Annual Meeting ◽

10.1177/1071181320641305 ◽

2020 ◽

Vol 64 (1) ◽

pp. 1282-1286

Author(s):

Jawad Alami ◽

Stephen Borowitz ◽

Sara L. Riggs

Keyword(s):

Patient Care ◽

Acute Care ◽

Initial Study ◽

Health Providers ◽

Care Department ◽

Quality Of Patient Care ◽

Access Cost ◽

Before And After ◽

Types Of Information

Health providers heavily rely on Electronic Health Record (EHR) systems in the daily patient care. While EHRs have improved the quality of patient care, issues related to implementation and training with these systems have resulted in clinician frustration and burnout. The goal of this work is to identify usability issues related to the EHRs during the pre-rounding process. Residents in the Pediatric Acute Care Department completed questionnaires before and after the experimental portion of this study where they were assigned two patients to pre-round. The results showed several emerging themes of issues residents encounter that include access cost of finding certain types of information, added workload offloaded to the residents, and incomplete information while pre-rounding. This initial study shows that these usability issues have resulted in increased frustration among residents. Addressing these issues related to EHRs could streamline the pre-rounding process and reduce the workload of the clinicians.

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Relationship between Nurses’ Competencies and Quality of Patient Care at Intensive Care Units

Menoufia Nursing Journal ◽

10.21608/menj.2019.111871 ◽

2019 ◽

Vol 4 (1) ◽

pp. 1-17

Author(s):

Mona Osman ◽

Manal Ibrahim ◽

Gehan Diab

Keyword(s):

Intensive Care ◽

Patient Care ◽

Intensive Care Units ◽

Quality Of Patient Care

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494 Streamlining the Minor Operations Process - The Effect of Better Documentation

British Journal of Surgery ◽

10.1093/bjs/znab134.436 ◽

2021 ◽

Vol 108 (Supplement_2) ◽

Author(s):

T Schrire ◽

C Estela

Keyword(s):

Patient Care ◽

Plastic Surgery ◽

Patient Experience ◽

Patient Flow ◽

Vital Part ◽

Rapid Turnover ◽

Quality Of Patient Care ◽

New Form ◽

Minor Operations

Abstract Introduction Plastic Surgery Minor Operations is a fast paced, rapid turnover operative environment. It is reliant on effective communication, accurate surgery, and time efficiency. It was noticed in our department that there was confusion regarding booking and operative intentions leading to delays in surgery and over-running lists. This was worsening patient experience and leading to delays in patient care. Method In response to the delays and confusion in booking, a new booking form was created, so all patients have a standardised booking containing the necessary information. This form was disseminated across all the booking clinics and formed a vital part of the pre-operative check in process. Results The audit was carried out at the time of introduction, and then re-audited a year later to see if the form has improved care for patients. Results showed that with the new booking form, people were not having to cancel or rearrange patients. Patient booking forms were sufficient, and a copy of the clinic letter no longer required for the operation to proceed or for clarity. It was noted that more senior advice was sought. Conclusions The new form has improved patient flow and quality of patient care, whilst streamlining the booking process.

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Pediatric Endocrinology in the Time of COVID-19: Considerations for the Rapid Implementation of Telemedicine and Management of Pediatric Endocrine Conditions

Hormone Research in Paediatrics ◽

10.1159/000513060 ◽

2020 ◽

Vol 93 (6) ◽

pp. 343-350

Author(s):

Molly O. Regelmann ◽

Rushika Conroy ◽

Evgenia Gourgari ◽

Anshu Gupta ◽

Ines Guttmann-Bauman ◽

...

Keyword(s):

Patient Care ◽

Care Patient ◽

The Novel ◽

Patient Privacy ◽

Pediatric Endocrinology ◽

Quality Of Patient Care ◽

Care Outcomes ◽

Novel Coronavirus ◽

The Impact

Background: Pediatric endocrine practices had to rapidly transition to telemedicine care at the onset of the novel coronavirus disease 2019 (COVID-19) pandemic. For many, it was an abrupt introduction to providing virtual healthcare, with concerns related to quality of patient care, patient privacy, productivity, and compensation, as workflows had to change. Summary: The review summarizes the common adaptations for telemedicine during the pandemic with respect to the practice of pediatric endocrinology and discusses the benefits and potential barriers to telemedicine. Key Messages: With adjustments to practice, telemedicine has allowed providers to deliver care to their patients during the COVID-19 pandemic. The broader implementation of telemedicine in pediatric endocrinology practice has the potential for expanding patient access. Research assessing the impact of telemedicine on patient care outcomes in those with pediatric endocrinology conditions will be necessary to justify its continued use beyond the COVID-19 pandemic.

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