• Julie M Stausmire and Charla Ulrich.
• Julie M. Stausmire is a clinical nurse specialist and the academic research coordinator at Mercy St Vincent Medical Center, Toledo, Ohio.Charla Ulrich is the director of quality/infection prevention/accreditation at Mercy St Vincent Medical Center. julie_stausmire@mercy.com.
• Crit Care Nurse. 2015 Dec 1; 35 (6): 57-61; quiz 62.

AbstractThis article is the second of a 4-part quality improvement resource series for critical care nurses interested in implementing system process or performance improvement projects. The article is a brainstorming session on paper, written to assist nurses and managers in identifying possible quality improvement projects that are meaningful to them and will make a real difference in their critical care units. Every unit and institution has its own unique mix of resources, culture, physical environment, patient population, technology, documentation processes, health care providers, and multiple other factors. Thus specific patient care and safety challenges must be identified and prioritized individually for quality improvement by each unit. Projects also must be manageable and within the scope of time, effort, and expertise available-no quality improvement project is "too small" if it is applicable to your critical care area and will improve outcomes.©2015 American Association of Critical-Care Nurses.

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