Developing and implementing quality initiatives in the ICU: strategies and outcomes.
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.
Harrigan
Sherry
S
Ball Memorial Hospital, Cardinal Health System, Muncie, IN, USA. SHarrigan@chsmail.org
Hurst
Debra
D
Lee
Claire
C
Christie
Vickie
V
Wolfe
R Brian
RB
Morrical
Daryl
D
Kleinpell
Ruth
R
D019985:Benchmarking / Q000458:organization & administration; D002405:Catheterization, Central Venous / Q000009:adverse effects; D002406:Catheterization, Peripheral / Q000009:adverse effects; D003422:Critical Care / Q000458:organization & administration*; D019317:Evidence-Based Medicine; D006301:Health Services Needs and Demand; D006764:Hospitals, Community; D006801:Humans; D017053:Infection Control / Q000458:organization & administration*; D015146:Midwestern United States; D024802:Nurse's Role; D015403:Nursing Evaluation Research; D009737:Nursing Records; D009741:Nursing Staff, Hospital / Q000193:education / Q000458:organization & administration / Q000523:psychology; D010043:Outcome and Process Assessment, Health Care / Q000458:organization & administration*; D010563:Personnel Turnover; D053717:Pneumonia, Ventilator-Associated / Q000517:prevention & control; D017410:Practice Guidelines as Topic; D016730:Program Development; D015397:Program Evaluation; D011785:Quality Assurance, Health Care / Q000458:organization & administration*; D018805:Sepsis / Q000175:diagnosis / Q000209:etiology / Q000517:prevention & control; D017749:Total Quality Management / Q000458:organization & administration*