Performance improvement in practice: managing urinary incontinence in home health patients with the use of an evidence-based guideline.
Urinary incontinence (UI) has a far-reaching impact on the medical, social, and psychological well-being of older adults. This article describes the steps taken to develop and implement a UI evidence-based guideline that achieved success in enhancing the Outcome and Assessment Information Set urinary outcome scores. It describes a process of putting evidence into practice, how it is related to the performance improvement process, specific barriers the authors faced in their performance improvement efforts, lessons learned, and the Home Health Compare outcomes data that ultimately proved the success of the efforts and challenges encountered after implementation.
Scottsdale Healthcare Home Health, Scottsdale, AZ, USA.degnatios@shc.org.
Donna
D
Egnatios
Linda
L
Dupree
Cathy
C
Williams
D000368:Aged; D000369:Aged, 80 and over; D001130:Arizona; D019317:Evidence-Based Medicine / Q000592:standards; D005260:Female; D019983:Guideline Adherence; D006699:Home Care Services / Q000592:standards*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009723:Nurse-Patient Relations; D017410:Practice Guidelines as Topic; D058996:Quality Improvement; D014549:Urinary Incontinence / Q000175:diagnosis / Q000451:nursing / Q000628:therapy*