Nikki Laudenbach, Kristi Patterson, and Carol Upcraft
Core Measures are hospital quality measures that are monitored and reported to the Joint Commission and the Centers for Medicare & Medicaid Services (CMS). They are evidence-based practices, scientifically researched standards of care which result in improved clinical outcomes for patients, and impact Value Based Purchasing reimbursement. They assist us to provide optimal care across all patient populations, help us identify areas where we can improve patient outcomes, and provide a focus for the development of clinical pathways and standard order sets.
Terri McCaffrey, Diane Pelant, and Jean Beckel
To define, develop, and implement a pediatric palliative care program.
To improve discharge education in order to increase the percent of overall discharge and patient satisfaction in relation to being discharged.
Hardwiring Excellence: Applying Healthy Work Environment Principles to the Pediatric/NICU Department
The goals of HWE is to improve trust, communication, employee engagement, patient satisfaction, patient safety, and patient clinical outcomes through skilled communication, true collaboration, effective decision making, appropriate staffing, meaningful recognition, and authentic leadership.
Methadone is increasingly being used for palliative cancer patients for pain management. Physicians are "rotating" opioids to help reduce opioid side effects, and help increase pain response due to tolerance of another opioid. Methadone has been compared to other opioids in studies in which it has been rotated with another opioid. The studies compared the adverse effects, cost, and the rate of success to achieve adequate pain management.
Naomi Schneider and Gina Anderson-Malum
To standardize the use of blood transfusion in total hip arthroplasty (THA) and total knee arthroplasty (TKA) patients.
Naomi Schneider and Mary Leyk
To improve bed side shift reporting in order to standardize practices, to increase efficiency, to decrease RN late clock outs, and to increase patient satisfaction.
May Schomer and Kathy Toulouse
To improve communication and education among health care workers on fall prevention measures in order to decrease fall rates and increase patient satisfaction.
Ann Summar, Joyce Belanger, and Melissa Vee
To evaluate and improve the daily progress note template in rehabilitation nursing documentation.
Brenda Swendra-Henry and Peggy Lange
To incorporate capnography into the care of patients receiving or recovering from continuous opioid infusions or sedation or at the discretion of RN or RT for patients with respiratory compromise.
Overview: The use of experiential learning in the form of simulation enabled our staff to prepare to coordinate and deliver care during a department move and within the new environment.
The Task: Planning and execution of simulation as a staff training modality for a complete patient department move into a newly constructed environment of care encompassing training of new technology systems including call light and infant security systems, new equipment, and expanded physical space from
The purpose of this project is to implement an evidence-based distress screening tool and referral process to support patients diagnosed with cancer. Evaluations of success will include comparison of patient satisfaction and distress level changes over time.
To evaluate the use of routinely administered supplemental oxygen in postoperative total joint replacement patients compared to like patients who had not had supplemental oxygen applied routinely as measured by SpO2.
Susan Schleper, Joyce Simones, Rachelle Larsen, and Judy Gilsdorf-Gracie
To evaluate the advantages and disadvantages of using a Wiki to develop an evidence-based practice research project.
Background: Radiation Oncology is an invasive invisible process often given during a time that both patients and their families feel considerable burden. The acute phase of treatment after diagnosis is a time of uncertainty, fear and anxiety. The psychological impacts of this fear and anxiety reduce patient's ability to take in all of the information they are given. Families are often active participants in supporting patients as a second set of eyes and ears. There are no national or organizational guidelines on family presence during radiation treatment. Coborn Cancer Center's practice is not consistent but generally included family waiting in the reception area.
Advancing Employee Engagement Through the Development and Responsible Use of an Internal Social Media Wiki
The purpose of this Evidence-based practice project is to increase employee engagement on the Surgical Care Unit through the use of social media. The fundamental reason for the project is to increase cohesion among employees by increasing communication, team building, and personal relationships.
Mary K. Weis, Jennifer Burris, Joannie Nei, Hoang D. Nguyen, Bob Miller, Mary Super, Brenda Swendra-Henry, and Roxanne Wilson
To reduce the percent of port erosion per year to at or below the number reported in the literature.
Nurses at CentraCare Health are engaged in finding ways to improve all aspects of practice of nursing in the clinical setting. The following are posters created in the process of Evidence-based Practice Projects and clinical improvement.
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