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Journal of Nursing Care Quality

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https://www.readbyqxmd.com/read/29677026/frequency-of-and-reasons-for-false-positive-consults-generated-by-the-malnutrition-screening-tool
#1
Alison Sturgill, Kathy Stanczyk, Lori Crouch, Karen Byrd
BACKGROUND: Nutrition screening on admission is one way to identify patients with malnutrition. The Malnutrition Screening Tool (MST) is a commonly used screening tool but has been found to generate false-positive consults. PURPOSE: The purpose of this research was two-fold: (1) to determine the percentage of nursing screens, using the MST, that generated a false-positive consult for a registered dietitian, and (2) to identify the reasons for these false-positive consults...
April 19, 2018: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/29677025/variations-in-missed-care-across-oncology-nursing-specialty-units
#2
Colleen Villamin, Jacqueline Anderson, Bryan Fellman, Diana Urbauer, Kelly Brassil
BACKGROUND: An opportunity was identified to compare perceptions of the occurrence and types of missed care at a comprehensive cancer center. PURPOSE: The purpose was to evaluate the difference in perceived occurrence and types of missed care between medical, surgical, and hematologic oncology units in the context of a newly implemented patient care delivery system, Primary Team Nursing (PTN). METHODS: A descriptive, repeated-measures design was used...
April 19, 2018: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/29634499/achieving-outcomes-with-innovative-smart-pump-technology-partnership-planning-and-quality-improvement
#3
Jennifer Lehr, Rachel R Vitoux, Kathleen Evanovich Zavotsky, Vicky Pontieri-Lewis, Lori Colineri
BACKGROUND: A 5-time designated Magnet academic medical center partnered with its infusion systems supplier to successfully integrate 1327 smart pumps across 45 departments with an aggressive 3-month timeline. The team also achieved quality improvement (QI) outcomes through increased drug library compliance and decreased alerts with their new technology. PROBLEM: This large academic medical center needed to implement innovative wireless infusion pump technology in a short time frame...
April 9, 2018: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/29790866/audit-and-feedback-a-quality-improvement-study-to-increase-pneumococcal-vaccination-rates
#4
Rebecca Culver Clark, Kimberly Ferren Carter, Julie Jackson, Deborah Hodges
The purpose of this quality improvement study was to explore the impact of audit and feedback on the pneumococcal immunization rate for at-risk adults in ambulatory settings. Study findings support the hypothesis that timely, individualized audit and feedback can have a positive impact on immunization rate; generalized feedback that did not provide actionable information did not have the same impact. The difference between the interventions was significant, χ (1, N = 1993) = 124.7, P <.001.
July 2018: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/29790865/effect-of-joint-camp-on-patient-outcomes-following-total-joint-replacement
#5
Ivana Dehorney, Pamela F Ashcraft
Two major cost concerns related to joint replacement surgery are patient length of stay (LOS) and 30-day hospital readmission rates. A quality improvement project was implemented to evaluate the impact of a joint replacement program on patient readmissions and hospital LOS. A total of 1425 patients older than 50 years participated. At the end of the project period, readmission rates decreased from 6.19% to 2.8% and average LOS decreased from 5.87 days to 2.7 days.
July 2018: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/29790864/implementing-comprehensive-primary-care-referral-tracking-in-a-patient-centered-medical-home
#6
Jenny Spahr, Jennifer Coddington, Nancy Edwards, Sara McComb
The Patient-Centered Medical Home care model emphasizes efficient, coordinated care distributed among interdisciplinary team members. One key function to care coordination is referral/test tracking. This study evaluated the referral practices in a nurse-managed Patient-Centered Medical Home primary care clinic. The major findings corroborate the need for a well-organized referral-tracking system that is centralized and contains safety nets to reduce the number of delayed or missed referrals.
July 2018: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/29787455/a-national-report-of-nursing-home-quality-and-information-technology-two-year-trends
#7
Gregory L Alexander, Richard Madsen
No abstract text is available yet for this article.
July 2018: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/29787454/moving-patient-safety-into-ambulatory-settings-and-beyond
#8
Richard Ricciardi, Marjorie Shofer
No abstract text is available yet for this article.
July 2018: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/29466263/work-intensification-and-quality-assurance-missed-nursing-care
#9
Eileen Willis, Clare Harvey, Shona Thompson, Maria Pearson, Alannah Meyer
This article examines nurses' commentaries from a survey conducted in New Zealand that studied contradictions between quality assurance and work intensification in nursing care. Nurse managers were blamed for either avoiding or not recognizing work intensification affecting quality care delivery. However, the data illustrate key structural issues resulting in missed care that impact on patient safety, rather than a problem directly attributable to managers. Until these structural issues are addressed, missed care and adverse events will continue to affect the quality of care...
April 2018: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/29466262/post-hospital-medication-discrepancies-at-home-risk-factor-for-90-day-return-to-emergency-department
#10
Linda L Costa, Ha Do Byon
The purpose of this study was to evaluate the occurrence of medication discrepancies during transitional care home visits and the association with emergency department (ED) visits. Using secondary data analysis, the relationships between in-home medication discrepancies and 30- and 90-day ED utilization were examined. For every in-home medication discrepancy, the odds of being admitted to the ED within 90 days increased by 31%. This brief intervention could add a valuable component to post-hospital transition management...
April 2018: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/29466261/engaging-nurses-in-optimizing-antimicrobial-use-in-icus-a-qualitative-study
#11
Lianne Jeffs, Madelyn P Law, Michelle Zahradnik, Marilyn Steinberg, Maria Maione, Linda Jorgoni, Chaim M Bell, Andrew M Morris
Antimicrobial stewardship programs (ASPs) have predominately involved infectious diseases physicians and pharmacists with little attention to the nurses. To achieve optimal success of ASPs, engagement of nurses to actively participate in initiatives, strategies, and solutions to combat antibiotic resistance across the health care spectrum is required. In this context, the experiences of local ASP teams engaging nurses in appropriate antimicrobial use were explored to inform future strategies to enhance their involvement in ASPs...
April 2018: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/29466260/project-situp-an-interdisciplinary-quality-improvement-initiative-to-reduce-aspiration-pneumonia
#12
Mary Beth OʼMalley, Rebecca L Trotta, Jeffrey Rohrbach, Vivek Ahya, Christine Bradway
The purpose of this quality improvement initiative was to improve oropharyngeal dysphagia screening and reduce aspiration pneumonia rates on 3 inpatient hospital medical units. Guided by a Plan-Do-Study-Act methodology, an interdisciplinary health team developed and implemented a systematic process for oropharyngeal dysphagia screening and management. As a result, use of the screening protocol increased, timely initiation of speech language pathology consultations increased, and aspiration pneumonia rates decreased...
April 2018: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/29466259/an-exploration-of-contributing-factors-to-patient-safety
#13
Inga M Zadvinskis, Pamela J Salsberry, Esther M Chipps, Emily S Patterson, Laura A Szalacha, Kathryn A Crea
One in 3 patients is estimated to experience health care-related harm during hospitalization. This descriptive, cross-sectional study used the Safety Attitudes Questionnaire to measure interprofessional staff perceptions of safety and teamwork climate and a retrospective, modified Global Trigger Tool chart review methodology to measure unit-level patient outcomes. Safety climate and teamwork did not have a statistically significant relationship with the frequency of adverse events identified by the Global Trigger Tool...
April 2018: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/29462099/impact-of-a-restraint-management-bundle-on-restraint-use-in-an-intensive-care-unit
#14
(no author information available yet)
No abstract text is available yet for this article.
April 2018: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/29462098/clinical-site-development-for-the-clinical-nurse-leader-in-a-rural-primary-care-setting
#15
Betty Nance-Floyd, Meg Zomorodi
No abstract text is available yet for this article.
April 2018: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/29120953/improving-quality-on-the-telemetry-unit-back-to-basics
#16
Joselyn White, Heather Brown, Lisa Fry
No abstract text is available yet for this article.
April 2018: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/28915223/quality-measures-a-stakeholder-analysis
#17
Marianne Baernholdt, Nancy Dunton, Ronda G Hughes, Patricia W Stone, Kathleen M White
For quality measures, confusion and discontentment have increased, as availability of electronic data and data collection tools has expanded. We examined current issues with quality measures across 4 stakeholder groups: developers, regulators/endorsers, data collectors, and consumer advocates. There are missing quality measures, issues with data quality and purpose, questionable usability of electronic health records, and an increased measurement burden and cost. Policymakers, administrators, health care professionals, and consumers need to collaborate on measure development and selection...
April 2018: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/28915222/effect-of-goal-setting-using-a-visual-display-on-patient-quality-of-life-and-self-efficacy
#18
Amanda Lucas, Ken N Borce, Anne Whitford Fast, Jodi Walker-Tweed
No abstract text is available yet for this article.
April 2018: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/28767468/improving-patient-care-outcomes-through-better-delegation-communication-between-nurses-and-assistive-personnel
#19
Elissa A Wagner
In acute care settings, registered nurses need to delegate effectively to unlicensed assistive personnel to provide safe care. This project explored the impact of improved delegation-communication between nurses and unlicensed assistive personnel on pressure injury rates, falls, patient satisfaction, and delegation practices. Findings revealed a tendency for nurses to delay the decision to delegate. However, nurses' ability to explain performance appraisals, facilitate clearer communication, and seek feedback improved...
April 2018: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/28767467/innovative-approach-to-reconstruct-bedside-handoff-using-simple-rules-of-complexity-science-to-promote-partnership-with-patients
#20
Mary K Anthony, Janet Kloos, Patricia Beam, Kathleen Vidal
When nurses integrate patient expertise, nurse-to-nurse handoff becomes patient-centered (nurse and patient), and the weak link between quality and safety is mitigated. The existing paradigm for handoff is an ineffective measure to minimize errors. This article describes a reimagined bedside handoff-transitioning handoff from its prescriptive nurse-centered interaction to a patient-centered partnership using the principles of complex adaptive systems, simple rules, and partnerships that address the uniqueness of each patient and nurse interaction...
April 2018: Journal of Nursing Care Quality
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