To Improve Safe Sleep, More Emphasis Should Be Placed on Removing Inappropriate Items From Cribs

Abstract

posttests assessed HPV knowledge and intention to get vaccinated. Chief endpoints are difference between preand-postintervention proportion intending to get vaccinated and rate of making vaccine appointments on exiting intervention.

Spread tools: a systematic review of components, uptake, and effectiveness of quality improvement toolkits

“…There were 672 CLABSIs per 587 891 central line–days in the 24-month preintervention period, and 181 CLABSIs per 208 175 central line–days in the 8-month post-intervention period. After implementation, the rate of CLABSI decreased by 23.5% (CI 9.8–35.1%; p = .001).Kuhlman 2014 [47]USInfant safe sleepPediatric and obstetric clinics# hospitals: 2# providers: NR# patients: 309Post-onlySafe Sleep Toolkit Implementation : NR Provider : Brief healthcare provider script Patient : Parental checklist, nationally available resources (links to videos, posters, brochures, door hangers) Other intervention : NR Uptake : NR Utility : NR Providers : NR Procedures : Providers engaged in discussion regarding safe sleep with most parents who reported intentions/behavior in opposition to the recommendations for safe sleep Patients : NRHaley 2015 [68]USKidney disease carePrimary care and nephrology practices# hospitals: 9 primary care and 5 nephrology practices# providers: 25 pre, 24 post interviews# patients: 292 chart auditsPre-postAdvanced Chronic Kidney Disease (CKD) Patient Management Toolkit Implementation : Guide to tool selection, patient identification tools, patient management tools, physician education materials. slide presentation, clinical practice guidelines, awareness letter, Provider : Identification and action plan card, identification and action plan poster, glomerular filtration rate (GFR) calculator, CKD chart flags/stickers, referring physician faxback form, CKD post-consult letters, advanced CKD management flow sheet and algorithm Patient : CKD patient diary, CKD patient education resources, venipuncture reminder card, vascular access passport Other intervention : Education sessions at each site, made modifications to some tools and one additional tool created (CKD Screening Protocol/When to Refer) Uptake : Site champions and physician leaders were contacted 3 years after completion of the study and asked whether the improvements in awareness of CKD, communication, the referral process, and comanagement of patients with CKD had been sustained and whether tools were still in use.…”

“…More than half of the included studies (57%) reported specific effects on clinical practice such as procedural changes [12–14, 16, 19–21, 24–26, 34–40, 42, 43, 45–47, 51, 52, 55, 56, 58, 59, 61–71, 74, 76, 78, 81–83, 85, 87]. In most cases, studies reported on the adherence to procedures suggested in the toolkit such as appointing a pediatric physician coordinator [13], counseling children and their families on weight and healthy lifestyles [86], and documenting symptom assessment for mobility impairment or falls [43].…”