1734 research outputs found
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High Reliability Principles in Safety
Get PDFSubject matter experts compare actual performance to expected performance. A standard set of questions for specific subtypes of events help establish trends. HRO\u27s (High Reliability Organization) equip leaders and frontline staff to spot systemic causes of human error.https://digitalcommons.centracare.com/nursing_posters/1135/thumbnail.jp
No One Goes Missing: Creating an Elopement Risk Safe Plan of Care
Get PDFTo identify patients at risk for elopement by developing an evidence-based elopement risk screening tool and plan of care.https://digitalcommons.centracare.com/nursing_posters/1116/thumbnail.jp
Retrospective Review of Pharmacist Delivered Employee Medication Therapy Management (MTM) Visits
Get PDFMedication therapy management (MTM) services are evolving, and through collaborative practice agreements with providers, pharmacists are in a unique position to use their knowledge and skills to improve therapeutic outcomes for patients. Studies have shown that employer provided MTM services can lead to reduced spending on employer healthcare plan costs and improve overall health outcomes for beneficiaries of the MTM program. CentraCare offers MTM programs for their employees and their beneficiaries, but the program is underutilized due to lack of awareness and limited ambulatory care pharmacists to provide MTM services. This project covers ambulatory care pharmacists\u27 role in improving employee health outcomes and will review past pharmacist-employee MTM visits and use information from the previous year visits to support continuation of the MTM program at CentraCare. The goal of this project is to show that pharmacist-employee MTM visits will improve the health of CentraCare employees and their beneficiaries. The results of the study can also be used to target new patients who will benefit from CentraCare’s MTM program and to improve employee engagement
Implementation of Teach-Back for Discharge Teaching in a Critical Access Hospital: A Quality Improvement Project
Get PDFA lack of comprehension of discharge instructions may cause high readmission and emergency room revisit rates for organizations. At the project site, there was no current evidence-based practice to ensure patient comprehension of discharge instructions. The purpose of this quantitative, quasi-experimental quality improvement project was to determine if the implementation of the Institute for Healthcare Improvement (IHI) Always Use Teach-Back Toolkit would impact emergency room revisit rates among adult medical-surgical patients in a critical access hospital in rural Minnesota over four weeks. Afaf Meleis’ transitions theory and the Iowa model for evidence-based practice were the scientific underpinnings of the project. The total sample size was 87, n = 47 in the comparison and n = 40 in the intervention groups. Data was extracted from the facility’s electronic health record. A chi-squared test was used, and results indicated no statistically significant reduction in the ED revisit rates X 2 (1, n=87) =2.00, p=0.157. Clinical significance is found in reducing the ED revisit rates by 1.38% over the four weeks. Therefore, the implementation of the IHI’s Always Use Teach-Back Toolkit may reduce emergency room revisit rates in this population and setting. Recommendations include sustaining the practice, adding teach-back to the discharge planning protocol, and disseminating the project findings
Machine Learning in Sports Medicine: Need for Improvement
Get PDFThe over-riding goal of a physician is to optimize the outcome for each individual patient. However, our ability to manipulate the end result at the individual level is limited by our inability to accurately predict the expected outcome of a given clinical scenario. In the age of big data, machine learning can make our predictive capability both easier and more accurate using existing registries and databases which hold the potential to dramatically change decision-making and to optimize individual outcome. The purpose of this editorial was to explore the possible uses of machine learning in sports medicine using existing knee ligament registries as an example
Contemporary Treatment Options for Pulmonary Embolism
Get PDFPurpose:
Provide RNs education on the classifications of PEs and new catheter directed treatment options.
Significance: PE remains a common and lethal entity PE is the 3rd leading cause of cardiovascular death in hospitalized patients (60,000-1000,000 per year) 150,000-250,000 PE related hospitalizations per year RNs must be knowledgeable of the classifications of PEs and catheter directed therapies to promote positive patient outcomes Prior to catheter directed therapies, submassive PEs had a mortality rate up to 20% at 3 months and were traditionally treated with IV heparin, or oral anticoagulant therapyhttps://digitalcommons.centracare.com/nursing_posters/1139/thumbnail.jp
Performance Improvement Leadership Rounding Implementation
Get PDFTo improve patient experience scores and address patient concerns in real time.
A proactive behavior that facilitates leaders building relationships with patients and families, managing expectations, and achieving and validating consistency of key behaviors.
A member of leadership will conduct a purposeful conversation with a chosen patient three days a week regarding the care provided during their procedural appointment.https://digitalcommons.centracare.com/nursing_posters/1138/thumbnail.jp
A New Approach to Sternal Precautions: Keep Your Move in the Tube
Get PDFPurpose: To guide patients and staff in a new approach to sternal precautions following median sternotomy
Current Practice: 10-pound lifting restriction for 4 weeks 20-pound lifting restriction until 3 months post operation Limited arm exercises Sit to stand push restrictions
Why Change: Literature review demonstrates great variation in sternal precautions Currently too restrictive; may hinder recovery and long-term mobility. Too many restrictions can create fear of movement, resulting in short term rehab discharge needs To create more independence for the patient, less reliant on family members for ADLs and basic needs. Patients to return to regular home and work activities sooner To decrease sternal wound complicationshttps://digitalcommons.centracare.com/nursing_posters/1137/thumbnail.jp
Nursing Annual Report: 2021
Get PDFMessage from the CNO
Message from Central Operations, SVP - St. Cloud Hospital President
St. Cloud Hospital Statistics
New Magnet Program Director, Nursing Strategic Plan FY 2021
Patient Experience
Nursing Care Delivery
Exemplary Professional Practice
Shared Governance
Working Relationships
Professional Development
Nursing Makes a Differenc
Rapid Evaluation Teams (RET): No Longer Just for Hospitals
Get PDFStudy:
Everyone goes to the Nursing Home for End of Life - Right? Wrong Cumulatively, over a 4-year study there were 678 residents with Full Code status residing at Carris Health Care Center and 687 residents the DNR/DNI status. That is only a 10-resident different between Full Code and DNR/DNI
Plan: Improve long-term care staff\u27s ability to call for, and receive, support to rapidly evaluate and address an urgent or concerning situation. Need for this plan is supported by increased number of OHFC substantiated events related to code status in MN and number of residents with Full Code status in long term care facilities. Barriers to Change: amount of education needed to increase number of CPR certified staff and to train on RET process, establishing one true source for code status for residents, establishing facility equipment needs for crash cart.https://digitalcommons.centracare.com/nursing_posters/1142/thumbnail.jp