76 research outputs found
An Analysis of the Benefits and Barriers to the Full Implementation of a HIPAA Compliant Secure Messaging System Within Lehigh Valley Health Network
Recommendation of Effective Practices for Improving LVHN HCAHPS Scores: A Focus on Care Transition at LVH-S
Improving Early Antibiotic Administration for Treatment of Sepsis at Childrenâs Hospital of Richmond at VCU: 2012-2019
Background: The Surviving Sepsis Campaign recommends initiating IV antibiotic administration within one hour of recognition of severe sepsis. Several studies have shown that prompt blood culture collection, administration of broad-spectrum antibiotics, and fluid resuscitation following recognition improves child survival.
Objective: Our goal was to evaluate effectiveness of sepsis initiatives and institutional changes in the timing of early antibiotic administration at Childrenâs Hospital of Richmond at VCU.
Methods: We formed a Pediatric Sepsis Committee with representatives from each unit in 2013. In 2016, the committee began tracking time from the order of a first stat dose IV antibiotic to administration as a marker of early treatment and reviewed data on a monthly basis with run charts for overall and unit-specific data. Other interventions included improved availability of antibiotics in automated dispensing machines, sepsis screening and alert systems, sepsis huddles, and auto-generated pages to charge nurses upon order of stat IV antibiotics. We included percent of stat antibiotics administered in less than one hour from order across all pediatric units since 2012.
Results: Across all units, the centerline of first dose stat antibiotics delivered within one hour improved from a baseline of 34% in 2012 to 76% in 2019. The NICU and PICU centerlines improved by 53% and 48%, respectively since 2012. The Pediatric ED improved from 66% in 2012 to 84% in 2016. The Acute Care Pediatrics (ACP) Unit centerline improved from 24% in 2012 to 50% in 2017.
Conclusion: Time from order to stat antibiotic administration has improved in all units receiving quality improvement initiatives. These improvements have been made possible by widespread emphasis on the dangers of untreated sepsis, multidisciplinary collaboration between nursing and physician staff, structural pharmacy changes and electronic alerts. Further studies are needed to determine impact on patient outcomes
Multiphase CFD modeling and laboratory testing of a Vortecone for mining and industrial dust scrubbing applications
Abstract 110: Application Of LEAN Methodology Reveals Patient Modifiable Factors To Be The Prime Source of Delay in âFirst Startâ Cases
Traumatic Brain Injury for the Generalist
Traumatic Brain Injury (TBI) Broad topic Wide spectrum of severity and sequela Multiple classification system
Migraine and the risk of allâcause dementia, Alzheimer's disease, and vascular dementia: A prospective cohort study in communityâdwelling older adults
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