Our first issue of 2017 contains many must-read articles, beginning with a report on the development and implementation process used to integrate a pressure ulcer care bundle in intensive care. As units move to bedside handoff, we need more information about patients’ and families’ perceptions. A study in this issue provides important evidence to answer that question. Zimbro and colleagues report on their study to determine if the Sepsis “Sniffer” Algorithm (SSA), designed as a digital sepsis alert, was a viable alternative to a manual sepsis alert. The SSA reduced the risk of incorrectly categorizing patients at low risk for sepsis, detected sepsis high risk in half the time, and reduced redundant nurse screens and manual screening hours. Other articles present initiatives to reduce alarm fatigue, prepare support staff to participate in falls prevention, and improve shift-change handoff communication. Don’t miss the scoping review on methods for developing nursing process health care indicators, an integrative review on the consequences of the CMS nonpayment policy on QI initiatives and other outcomes, and the rest of the articles in this issue.
Marilyn H. Oermann, PhD, RN, ANEF, FAAN