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January/March 2019 - Volume 34 - Issue 1

  • Marilyn H. Oermann, PhD, RN, FAAN
  • 1057-3631
  • 1550-5065
  • 4 issues / year
  • 58/118
  • 1.191

This issue includes articles on a wide range of initiatives and studies. Lehr et al describe how they used Lean principles and partnerships to transition to new smart pumps: this article is OPEN so share widely with colleagues. Lean also was used to change processes for identifying patients with heart failure and increasing core measure scores (read this article for CE). Are you thinking about doing nurse peer review? An article explains how nursing leaders and staff nurses from rural and critical access hospitals collaborated to establish peer review. Other articles report research on the effects of nurse engagement and nurse staffing on patient safety, alarm fatigue among labor nurses, and much more.

Marilyn H. Oermann, Editor-in-Chief

Achieving Outcomes With Innovative Smart Pump Technology: Partnership, Planning, and Quality Improvement

Lehr, Jennifer; Vitoux, Rachel R.; Evanovich Zavotsky, Kathleen; More

Journal of Nursing Care Quality. 34(1):9-15, January/March 2019.

Achieving Outcomes with Innovative Smart Pump Technology: Partnership, Planning, and Quality Improvement

Reducing Inappropriate Antibiotics for Urinary Tract Infections in Long-Term Care: A Replication Study

Cooper, Denise; McFarland, Marilyn; Petrilli, Francesca; More

Journal of Nursing Care Quality. 34(1):16-21, January/March 2019.

Reducing Inappropriate Antibiotics for Urinary Tract Infections in Long-Term Care: A Replication Study

Using Lean to Enhance Heart Failure Patient Identification Processes and Increase Core Measure Scores

Hunt, Jennifer R.; Ouellette, Kelli Jo; Reece, Michelle

Journal of Nursing Care Quality. 34(1):28-33, January/March 2019.

Using Lean to Enhance Heart Failure Patient Identification Processes and Increase Core Measure Scores

Association of Nurse Engagement and Nurse Staffing on Patient Safety

Brooks Carthon, J. Margo; Hatfield, Linda; Plover, Colin; More

Journal of Nursing Care Quality. 34(1):40-46, January/March 2019.

Association of Nurse Engagement and Nurse Staffing with Patient Safety

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Providing appropriate and timely mealtime assistance to hospitalized patients should be part of a multifaceted and multidisciplinary approach to optimizing the patient's nutritional care plan. The combined interventions of staff engagement, redesigning the model of care to reprioritize activities at mealtimes, clarifying nutritional care roles and responsibilities, introducing a protected mealtime and a novel 2-tiered colored tray system, and implementing an awareness and education program have resulted in significant improvements in mealtime assistance. Learn more about this project from the authors in the video and their article.
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Strategies have been identified to establish patient-centered care and improve patient engagement with care. However, the relationship of patient/ family engagement to reduction of harm is not well understood. Dr Schenk, in her first study, identified an opportunity for reducing risk and harm by more actively engaging patients and families in the effort. In another study her team convened a Patient Safety Advisory Panel to explore potential interventions to increase patient/family engagement with safety. The preferred intervention was Speak Up-My Advocate for Patient Safety. Learn about these studies in the video and implications for engaging patients and families in your own settings of care. Be sure to read both articles.
​​Nursing home providers face challenges in urinary tract infection assessment and treatment, often prescribing unnecessary antibiotics for asymptomatic bacteriuria. The project tested the effectiveness of the multifaceted Cooper Urinary Tract Infection Program that includes the Cooper tool algorithm, didactic education for providers, and change champions. This Program led to significant improvements in nurse knowledge and reduced rates of urinary tract infections, inappropriate antibiotic treatments, and urinalyses. Learn about this important Program: Dr Cooper presents her Program in this video and describes the study in her article.
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​​​Learn about this interesting study that used a process evaluation methodology. The aim was to examine the effectiveness of implementing same day discharge (SDD) following percutaneous coronary intervention. During implementation, 22 patients were discharged home the same day. It was found, however, that staff did not follow the guideline consistently, with an overall adherence of 77.3%. The study is important as it provides direction for future improvement both in the criteria and implementation process. After watching this video, be sure to read the article. 
​​​A goal in many health systems is to improve heart failure (HF) core measure (CM) scores. Learn how an interdisciplinary team analyzed the processes in their setting, implemented an accurate reporting system, redesigned the process for identifying patients with HF, and changed the EHR. There was a decrease in readmissions from 12% to 8%, and HF CM compliance score increased from 88% to 100%. increased from 88% to 98%. Watch the video and then be sure to read the full article (for CE).













Watch our Videos on Writing Journal Articles on QI

This is the first video in our writing for publication series. The purpose of the manuscript and intended readers guide your selection of a journal for submission. Learn about directories of nursing and other journals and sending a query email.
This is the second video in our writing for publication series. Learn about the journal’s Information for Authors and why important, formats for writing different types of manuscripts, and reporting guidelines. The video will prepare you for writing papers about quality improvement and using the SQUIRE guidelines. References and tables/figures also are discussed.
​This is the final video in our writing for publication series. In this video you will get some additional tips on writing your manuscript and will learn about peer review and responding to reviewers’ comments. Other topics include authorship criteria, copyright, open access, and avoiding “predatory journals.”