Measurable outcomes of quality improvement in the trauma intensive care unit: the impact of a daily quality rounding checklist

The Journal of Trauma
Joseph J DuBoseHoward Belzberg

Abstract

The use of "care bundles" in the prevention of ventilator-associated pneumonia (VAP) and other intensive care unit (ICU) complications have been increasingly used in critical care practice. However, the effective implementation of these strategies represents a challenge in a busy Level I trauma ICU. We devised a daily "Quality Rounds Checklist" (QRC) tool for use in the ICU to increase compliance with these prophylactic measures and identify areas for improvement in quality of care. A prospective before-after design was used to examine the effectiveness of the QRC tool in promoting compliance with 16 prophylactic measures for VAP, deep venous thrombosis or pulmonary embolism, central line infection and other ICU complications. Compliance was assessed for 1 month before institution of the QRC. On daily analysis, the QRC was then applied by the ICU fellow to assess compliance. Any deficiencies were actively corrected in real time. Compliance was assessed by a multidisciplinary team for the next 3 months and compared with the pre-QRC compliance rates. Implementation of the QRC tool facilitated improvement of all measures not already at >95% compliance. Compliance with VAP prevention measures of head of bed elevation >30 degrees (3...Continue Reading

References

Jul 8, 1999·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·L SoufirS Chevret
Feb 26, 2000·Annals of Internal Medicine·L A Mermel
Sep 26, 2002·Journal of Critical Care·Daren K HeylandPeter M Dodek
Nov 21, 2002·Critical Care Medicine·Jordi Rello
Dec 12, 2002·Chest·Jordi RelloUNKNOWN VAP Outcomes Scientific Advisory Group
Jan 14, 2004·Chest·P S SriramJohn G Mastronarde
Feb 9, 2005·American Journal of Respiratory and Critical Care Medicine·UNKNOWN American Thoracic Society, UNKNOWN Infectious Diseases Society of America
Jun 18, 2005·Joint Commission Journal on Quality and Patient Safety·Roger ResarThomas Nolan
Nov 24, 2006·Joint Commission Journal on Quality and Patient Safety·Dorine Berriel-CassMohamad G Fakih

❮ Previous
Next ❯

Citations

May 5, 2011·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Pranita D TammaSara E Cosgrove
Jul 18, 2008·Critical Care Medicine·Steven G Venticinque, Kurt W Grathwohl
Apr 12, 2011·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Kyle J RehderKshitij P Mistry
Apr 4, 2012·Annals of Surgery·Joseph CuschieriUNKNOWN Inflammation and Host Response to Injury, Large Scale Collaborative Research Program
Mar 12, 2009·The Journal of Trauma·Ayan SenThomas Scalea
Apr 23, 2009·American Journal of Respiratory and Critical Care Medicine·Robert A FowlerGordon D Rubenfeld
May 28, 2011·American Journal of Respiratory and Critical Care Medicine·Curtis H WeissRichard G Wunderink
Dec 22, 2010·BMC Health Services Research·Oyvind ThomassenAnsgar Espeland
Nov 3, 2012·Neurosurgical Focus·Scott L ZuckermanJ Mocco
Mar 19, 2014·The American Journal of Emergency Medicine·Mark J ConroyJestin N Carlson
Sep 25, 2014·Indian Journal of Critical Care Medicine : Peer-reviewed, Official Publication of Indian Society of Critical Care Medicine·Rajesh ChawlaSananta Kumar Dash
Jan 29, 2013·Der Anaesthesist·H TrimmelA von Goedecke
Feb 11, 2015·Global Heart·Marija VukojaUNKNOWN CERTAIN Investigators
Feb 11, 2014·Medicina intensiva·G Sirgo RodríguezUNKNOWN ART-SACC study experts
Dec 14, 2011·Journal of Trauma Nursing : the Official Journal of the Society of Trauma Nurses·Alejandrina SalazarDavid G Smead
Aug 15, 2013·Medical Teacher·Ivette MotolaS Barry Issenberg
Nov 5, 2013·Journal of Microbiology, Immunology, and Infection = Wei Mian Yu Gan Ran Za Zhi·Kim-Peng LimShan-Chwen Chang
Jun 5, 2012·The Journal of Surgical Research·Nathan P ZwintscherScott R Steele
Jan 29, 2011·Enfermería intensiva·R Vinagre GasparE Alted López
May 8, 2010·Journal of Critical Care·Russel J RobertsJohn W Devlin
May 12, 2009·Journal of Critical Care·Judith E NelsonPeter J Pronovost
Sep 6, 2015·Enfermería intensiva·C Cuzco Cabellos, N Guasch Pomés
Apr 25, 2009·Transfusion·Shan YuanDennis Goldfinger
Nov 12, 2010·Acta Anaesthesiologica Scandinavica·Ø ThomassenJ-K Heltne
Jul 26, 2011·Anatomical Sciences Education·Ryan Engebretson HoferWojciech Pawlina
Oct 16, 2012·Nursing in Critical Care·Petra Lawrence, Paul Fulbrook
Aug 10, 2011·Nursing in Critical Care·Petra Lawrence, Paul Fulbrook
Aug 16, 2015·Implementation Science : IS·Marjon J BorgertDave A Dongelmans
Apr 5, 2011·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Sean M BerenholtzPeter J Pronovost
Apr 20, 2016·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Brianna L MckelvieW David Creery
Mar 17, 2015·Neurosurgery Clinics of North America·Scott L ZuckermanJ Mocco
Oct 23, 2016·American Journal of Surgery·Shelby ResnickDemetrios Demetriades
Dec 25, 2015·PloS One·Jessalyn K HolodinskyHenry T Stelfox
Jul 13, 2014·American Journal of Medical Quality : the Official Journal of the American College of Medical Quality·Linda Aponte-Patel, Anita Sen
Mar 29, 2014·Critical Care Medicine·John Eugenio CentofantiDeborah J Cook

❮ Previous
Next ❯

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