Developing and implementing quality initiatives in the ICU: strategies and outcomes

Crit Care Nurs Clin North Am. 2006 Dec;18(4):469-79, ix. doi: 10.1016/j.ccell.2006.09.004.

Abstract

The Institute of Medicine identifies quality health care as care that is safe, time, effective, efficient, equitable, and patient centered. In the ICU, where patients who have complex, high-acuity are at increased risk of complications, morbidity, and mortality, promoting quality-focused case is especially important. This article describes several performance-improvement initiatives that were developed and implemented a Midwestern community hospital during a 4-year period. The initiatives to reduce catheter-associated blood stream infections, to identify early sepsis, and to promote evidence-based care.

Publication types

  • Evaluation Study

MeSH terms

  • Benchmarking / organization & administration
  • Catheterization, Central Venous / adverse effects
  • Catheterization, Peripheral / adverse effects
  • Critical Care / organization & administration*
  • Evidence-Based Medicine
  • Health Services Needs and Demand
  • Hospitals, Community
  • Humans
  • Infection Control / organization & administration*
  • Midwestern United States
  • Nurse's Role
  • Nursing Evaluation Research
  • Nursing Records
  • Nursing Staff, Hospital / education
  • Nursing Staff, Hospital / organization & administration
  • Nursing Staff, Hospital / psychology
  • Outcome and Process Assessment, Health Care / organization & administration*
  • Personnel Turnover
  • Pneumonia, Ventilator-Associated / prevention & control
  • Practice Guidelines as Topic
  • Program Development
  • Program Evaluation
  • Quality Assurance, Health Care / organization & administration*
  • Sepsis / diagnosis
  • Sepsis / etiology
  • Sepsis / prevention & control
  • Total Quality Management / organization & administration*