Implementation of an institutional program to improve clinical and financial outcomes of mechanically ventilated patients: One-year outcomes and lessons learned*

Burns, Suzanne M.; Earven, Sidenia; Fisher, Charles J.; Lewis, Rose; Merrell, Paul; Schubart, Jane R.; Truwit, Jonathon D.; Bleck, Thomas P.

doi:10.1097/01.ccm.0000094217.07170.75

Cited by 152 publications

(106 citation statements)

References 18 publications

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“…These countries were selected for evaluation because study collaborators have previously described aspects of weaning processes through formal evaluation of protocols or automated weaning systems, 8,9 exploration of nurse roles and decision making, 12,13 description of nurses' education and training practices for mechanical ventilation, 14 and the study of an outcomes-managed approach to weaning. 15,16 We anticipate that the findings will provide relevant information for further work on weaning in these geographical areas.…”

Section: Unit Structure and Staffing Modelsmentioning

confidence: 99%

International Perspectives on the Influence of Structure and Process of Weaning From Mechanical Ventilation

Rose

Blackwood²,

Burns³

et al. 2010

American Journal of Critical Care

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Section: Unit Structure and Staffing Modelsmentioning

confidence: 99%

International Perspectives on the Influence of Structure and Process of Weaning From Mechanical Ventilation

Rose

Blackwood²,

Burns³

et al. 2010

American Journal of Critical Care

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“…The implementation of the CLABSI prevention bundle has significantly reduced CLABSI rates at multiple institutions (21,264). The use of a VAP prevention bundle has also led to significant reductions in VAP rates in ICU patients (41,272). In an effort to reduce SSIs, the CMS has instituted the Surgical Care Improvement Project (SCIP).…”

Section: Infection Preventionmentioning

confidence: 99%

Hospital Epidemiology and Infection Control in Acute-Care Settings

2011

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SUMMARY Health care-associated infections (HAIs) have become more common as medical care has grown more complex and patients have become more complicated. HAIs are associated with significant morbidity, mortality, and cost. Growing rates of HAIs alongside evidence suggesting that active surveillance and infection control practices can prevent HAIs led to the development of hospital epidemiology and infection control programs. The role for infection control programs has grown and continues to grow as rates of antimicrobial resistance rise and HAIs lead to increasing risks to patients and expanding health care costs. In this review, we summarize the history of the development of hospital epidemiology and infection control, common HAIs and the pathogens causing them, and the structure and role of a hospital epidemiology and infection control program.

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“…Some studies 20,21 point out the improvement in caloric intake and standardization of practice due to using nutrition-specific guidelines and protocols, although large gaps between recommendations from such guidelines and actual clinical practice have also been described. 5 Nevertheless, the development of nutrition-specific guidelines for critical care is an important step to providing synthesized, research-based recommendations that inform decisions at the bedside with the aim of improving nutritional intake for a group of patients at high risk for iatrogenic malnutrition.…”

Section: Evidence-based Enteral Feeding Guidelines and Nursing Practicementioning

confidence: 99%

Optimizing Nutrition in Intensive Care Units: Empowering Critical Care Nurses to Be Effective Agents of Change

Marshall¹,

Cahill²,

Gramlich³

et al. 2012

American Journal of Critical Care

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Observational studies have consistently revealed wide variation in nutritional practices across intensive care units and indicated that the provision of adequate nutrition to critically ill patients is suboptimal. To date, the potential role of critical care nurses in implementing nutritional guideline recommendations and improving nutritional therapy has received little consideration. Factors that influence nurses' nutritional practices include the lack of guidelines or conflicting evidence-based recommendations pertaining to nurses' practice, strategies for implementing guidelines that are not tailored to barriers nurses face when feeding patients, strategies to communicate best evidence that do not capitalize on nurses' preference for seeking information through social interaction, prioritization of nutrition in initial and continuing nursing education, and a lack of interdisciplinary team collaboration in the intensive care unit when decisions on how to feed patients are made. Future research and quality improvement strategies are required to correct these deficits and successfully empower nurses to become nutritional champions at the bedside. Using nurses as agents of change will help standardize nutritional practices and ensure that critically ill patients are optimally fed.

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Implementation of an institutional program to improve clinical and financial outcomes of mechanically ventilated patients: One-year outcomes and lessons learned*

Cited by 152 publications

References 18 publications

International Perspectives on the Influence of Structure and Process of Weaning From Mechanical Ventilation

International Perspectives on the Influence of Structure and Process of Weaning From Mechanical Ventilation

Hospital Epidemiology and Infection Control in Acute-Care Settings

Optimizing Nutrition in Intensive Care Units: Empowering Critical Care Nurses to Be Effective Agents of Change

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