Effects of a multifaceted, multidisciplinary, hospital-wide quality improvement program on weaning from mechanical ventilation

Smyrnios, Nicholas A.; Connolly, A.; Wilson, Mark M.; Curley, Frederick J.; French, Cynthia T.; Heard, Stephen O.; Irwin, Richard S.

doi:10.1097/00003246-200206000-00009

Cited by 79 publications

(52 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The percentage of patients who required weaning decreased from 80 to 10% when physician judgment was replaced by protocol management [119]. Protocol-directed daily screening of respiratory function and trials of SBT decrease the time required for extubation, the incidence of self-extubation, the incidence of tracheostomy and ICU costs, and results in no increase or even a decrease in the incidence of reintubation [6,26,[120][121][122][123][124][125][126]. In trauma patients, DRIES et al…”

Section: Weaning Protocolsmentioning

confidence: 99%

Weaning from mechanical ventilation

Boles

Bion

Connors³

et al. 2007

European Respiratory Journal

1,619

1,499

View full text Add to dashboard Cite

Section: Weaning Protocolsmentioning

confidence: 99%

Weaning from mechanical ventilation

Boles

Bion

Connors³

et al. 2007

European Respiratory Journal

1,619

1,499

View full text Add to dashboard Cite

“…Several studies examined the interrelationship between physicians, nurses, and respiratory therapists and the effect on patient outcomes (Smyrnios et al, 2002;Stein-Parbury & Liaschenko, 2007). Education should not be limited to the nursing staff.…”

Section: The Effect Of Collaborative Practice and Teamwork On Patientmentioning

confidence: 99%

Improving Nurse Satisfaction and Knowledge of Therapeutic Hypothermia Using a Staff Education Program and Evidence-Based Protocol

Goldstein¹

2013

Preprint

View full text Add to dashboard Cite

Mild Therapeutic Hypothermia (TH) or Targeted Temperature Management (Nunnally et al., 2011) is defined as an intentional reduction of a patient's core temperature to 32°C-34°C (89.6-93.2° F) following ventricular fibrillation (V-Fib) sudden cardiac arrest (SCA) with return of spontaneous circula-tion (ROSC), and who remain unconscious, for the purposes of limiting neurologic reperfusion injury (Polderman, & Herold, 2009). Mild TH is a highly valuable post cardiac arrest procedure that can result in preservation of neurologic function and reduction of the inflammatory effects of neurologic reperfusion syndrome following cardiac arrest. This procedure requires specific educational preparation in order to perform the procedure and anticipate the potential complications that might occur during nursing care. TH involves the use of specialized equipment, systematic education, and a team approach to be effective.Educational needs should be addressed in a variety of presentations over time to provide staff with the knowledge and confidence to care for these patients. The purpose of this project was to develop an educational program for critical care and emergency department nurses caring for patients undergoing TH. Development was guided by review of the literature, theoretical framework, assessment of need, and reevaluation of learning. This program development project highlights the role of the CNS in identifying, teaching, and evaluating learning for nurses in the

show abstract

“…Ely and colleagues [5] have shown that a daily attempt at spontaneous ventilation reduces the mechanical ventilation period. Smyrnios and colleagues [6] concluded that it was of great importance to identify and resolve the patients' weaning problems quickly, which is possible through systematic medical access to an organised multidisciplinary system of work. The prolongation of mechanical ventilation can lead to an increased risk of ventilation-associated pneumonia [7,8]; on the other hand, premature extubation followed by reintubation can increase the morbidity and mortality [9].…”

Section: Introductionmentioning

confidence: 99%