Duration: 4:04
Learn more about this study that examined the implementation of handoff as part of TeamSTEPPS initiatives for improving shift-change communication. The authors conducted on-site interviews and made observations in 8 critical access hospitals. Facilitators and barriers were different between high and low performing hospitals. Staff involvement and being part of the “big picture” were important facilitators to change management and buy-in. After viewing this video, read the article to learn more about this important study.
Duration: 2:41
Journal: Journal of Nursing Care Quality April/June 2017, Volume 32, Issue 2;
Medication errors are a source of serious patient harm. A unique approach, Socio-Technical Probabilistic Risk Assessment, was used to analyze medication errors in this pediatric setting. Three steps were identified that should be taken with every intravenous medication or fluid administration. Nurses check for the 3Cs: Connections, Clamps, and Confirming pump settings. Preliminary analysis revealed a 22% reduction in errors. This video is prepared with a pediatric theme!
Duration: 5:48
Journal: Journal of Nursing Care Quality January/March 2016, Volume 31, Issue 1;
Many fall prevention strategies exist with some degree of effectiveness. Watch this video and read the article to learn about a staff-driven QI initiative to develop a video in partnership with patients and families to prevent falls when hospitalized. Since the video's release, the fall rate has decreased by 29.4%.
Creator: Eileen Lake
Duration: 4:54
Journal: Journal of Nursing Care Quality
Dr. Lake and colleagues describe their study on the associations between the NICU work environment, quality of care, safety, and patient outcomes. A secondary analysis was conducted of responses of 1247 NICU staff nurses in 171 hospitals to a large nurse survey. Better work environments were associated with lower odds of nurses reporting poor quality, safety, and outcomes. Improving the work environment may be a promising strategy to achieve safer settings for at-risk newborns.
Duration: 2:58
Rapid response team (RRT) adoption and implementation are associated with improved quality of care of patients who experience an unanticipated medical emergency. The sustainability of RRTs is vital to achieve long-term benefits of these teams for patients, staff, and hospitals. The author describes a study that examined the relationship between sustainability elements and RRT sustainability in hospitals with RRTs. Watch the video and be sure to read the article.
Duration: 4:43
Journal: Journal of Nursing Care Quality January/March 2017, Volume 32, Issue 1;
The authors developed an evidence-based alarm management strategy and describe their project in this video. The alarm management program reduced alarms up to 30%. Evaluation of patients on continuous cardiac monitoring showed a 3.5% decrease in census. This alarm management strategy has the potential to save $136 500 and 841 hours of registered nurses' time per year. Make sure you read their article too.
Creator: Sue Rees, RN, VP for Development, Nursing & Patient Care Services at University of Wisconsin Hospital & Clinics
Duration: 5:01
Journal: Journal of Nursing Care Quality
This interdisciplinary team reduced the number of catheter-associated urinary tract infections in their health system. Learn more about the 4 strategies they used and how they implemented the project system wide.
Creator: Pam Cosper
Duration: 3:00
Journal: Journal of Nursing Care Quality
Multiple interventions were used to reduce restraint use in 4 acute care hospitals within a single health system: multidisciplinary rounds on restrained patients, increased availability of restraint alternatives, development of unit-based restraint champions, and education of staff. The health care system has maintained a quarterly restraint prevalence rate of less than 2.26% with 1 variant.
Creator: Sabrina Orique and Christopher Patty
Duration: 5:08
Journal: Journal of Nursing Care Quality
Watch this video and read the article to learn more about the nature and causes of missed nursing care and how it relates to unit-level nurse workload. This study was conducted in California, which legally mandates nurse staffing ratios. There were no significant relationships between patient turnover and missed nursing care.
Duration: 6:12
Journal: Journal of Nursing Care Quality July/September 2016, Volume 31, Issue 3;
Among hospitalized patients, malnutrition is prevalent yet often overlooked and undertreated. The author implemented a QI program that integrated early nutritional care into the nursing workflow. Nurses screened for malnutrition risk at patient admission and then immediately ordered oral nutritional supplements for those at risk. Supplements were given as regular medications. Pressure ulcer incidence, length of stay, 30-day readmissions, and costs of care were reduced. Watch this video and read the entire article for free: the article is open access so readers can learn about this important QI initiative.