Prevention of pressure ulcers for patients undergoing endoscopy procedures.

“Patient positioning during gastrointestinal endoscopic procedures has received minimal attention compared with surgical procedures performed in the surgical setting. However, prolonged endoscopic interventions on patients and the increasing requirement for general anesthesia have changed to need for patient positioning guidelines. It is crucial to establish positioning guidelines for endoscopic procedures in supine, prone, and lateral positions.
These new patient positioning guidelines during gastrointestinal endoscopic procedures should become part of national endoscopy practice standards and the education curriculum of endoscopy nurses.” (Meeusen)

(Meeusen)
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Interventions to reduce alarm fatigue and nuisance alarms on cardiac units.

“Health care workers are exposed to an excessive number of alarms that overload their senses, which leads to alarm desensitization. It is estimated that between 80% and 99% of alarms in the clinical areas are false As health care workers become increasingly desensitized to alarms, alarm response rates decrease or diminish all together. Poor alarm response rates result in important alarms being overlooked or ignored because the important alarms are
drowned out by superfluous alarms.” (Srinivasa)

(Srinivasa)
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Interventions to improve medical reconciliation

“Unintentional medication discrepancies due to inadequate medication reconciliation pose a threat to patient safety. Skilled nursing facilities are an important care setting where patients are vulnerable to unintentional medication discrepancies due to increased medical complexity and care transitions. This study describes a quality improvement approach to improve medication reconciliation in a skilled nursing facility setting as part of the Multi-Center Medication Reconciliation Quality Improvement Study 2.” (Baughman)

(Baughman)

Baughman, A. W., et al . (2021). Improving Medication Reconciliation with Comprehensive Evaluation at a Veterans Affairs Skilled Nursing Facility. Joint Commission journal on quality and patient safety, 47(10), 646–653. Free Full Text

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Achieving patient satisfaction with discharge instructions

(Kang)

“Discharge education is important for general surgical patients to participate and
regain control of their life after discharge. Overcoming barriers to discharge education is essential to enhance patient comprehension and recollection of the information. Discharge education delivered using a patient‐centred approach provides opportunity to engage patients,
foster patient understanding and enhance patients’ ability to self‐manage and could in turn improve their post-discharge outcomes.” (Kang)

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What is the required or recommended nursing documentation for patients in the pre-operative and post-operative phases?

(Santos)

Santos Almeida, A. C., et al  (2021). Inadequate completion of surgical data for patient safety: opinion of health professionals. Rev Rene, 22(1), 1–8. Free Full Text

Grommi, S., et al (2021). Educating Registered Nurses for Pain Knowledge and Documentation Management: A Randomized Controlled Trial. International Journal of Caring Sciences, 14(2), 919–929. Full Text for Emory Users

Lakshmikantha, N., & Lakshman, K. (2021). A Review of Operation Theater Notes in a Tertiary Care Center. Indian Journal of Surgery, 83(4), 956–959. Full Text for Emory Users

Shoqirat, N., et al  (2019). Nursing Documentation of Postoperative Pain Management: A Documentary Analysis. Journal of Nursing Care Quality, 34(3), 279–284. Full Text for Emory Users

Discharge lounges and patient/system outcomes

“The development of the discharge lounge has demonstrated significant improvement in five areas:
• Higher patient satisfaction scores
• Increased patient discharges by 2:00 p.m. daily
• Reduced boarding time, or the time patients spend in the ED before being transferred to another unit
• Decreased frequency of 30-day readmissions
• Enhanced identification and correction of potential safety issues”

(Rhodes)

RHODES, J. R., et al (2020). Discharge lounges for optimal outcomes: A quality improvement project. Nursing, 50(12), 65–68.
Full Text for Emory Users

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