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July/September 2016 - Volume 31 - Issue 3
pp: 197-298,E1-E8

AHRQ Commentary


Innovations in Quality Improvement in Long-term Care





Creator:
Duration: 3:18
Journal: Journal of Nursing Care Quality July/September 2016, Volume 31, Issue 3;
Dr. Rahn examined the relationships between nursing teamwork and NDNQI outcomes including pressure ulcers, falls, and catheter-associated urinary tract infections, and she found some significant relationships. Improving teamwork in medical-surgical acute care units can transform care and impact the occurrence of preventable adverse outcomes. Watch this video and read the article to understand the importance of teamwork on your unit.
Creator:
Duration: 16:32
Journal: Journal of Nursing Care Quality July/September 2016, Volume 31, Issue 3;
A multicomponent intervention was attempted in a pediatric emergency department to increase reporting of workplace aggression committed by patients and visitors. Overall reporting decreased from 53% to 47% (p = .06). Reasons for reporting were severity of incident and being asked to report. However, many incidents were not reported. Watch the video and be sure to read the article.
Creator:
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.
Creator:
Duration: 3:07
Journal: Journal of Nursing Care Quality July/September 2016, Volume 31, Issue 3;
The purpose of this QI project was to determine the feasibility of using provider-led participatory visual methods to scrutinize 4 hospital units' infection prevention and control practices. Methods included provider-led photo walkabouts, photo elicitation sessions, and postimprovement photo walkabouts. Nurses readily engaged in using the methods to examine and improve their units' practices and reorganize their work environment.