Journal of nursing care quality
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Death is an emotional event that leaves lasting memories for the bereaved. This article describes the qualitative analysis of a mailed family survey addressing experiences with community hospital inpatient end-of-life care. Family members identified and appreciated symptom management and caring behaviors such as compassion and communication; they also noted the absence of these caring behaviors. Effective application of these behaviors to the dying experience should improve family satisfaction with end-of-life care.
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Falls prevention is a complex problem. Following in the footsteps of an earlier fall prevention team, the Safe Landings Fall Prevention Team used many strategies for implementing a fall prevention/reduction program. The tactics we used to prevent falls combined with the adoption of a fall assessment risk model are shared.
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Management of critically ill patients occurs frequently in emergency departments (ED) while waiting for intensive care beds to become available. The purpose of this study was to investigate effects of timeliness of interventions in the ED on ED outcomes and hospital length of stay. ⋯ Timeliness to first medication and order for intensive care unit bed to leaving the ED influenced both ED and hospital length of stay. Timely interventions affect outcomes, access, and quality of care.
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The Quality Assessment and Performance Improvement (QAPI) model seeks to improve the structures and processes of delivering healthcare to gain better outcomes in patient care. The goal of the model described in this article is to create an integrated approach for hospitals to meet the Center for Medicare & Medicaid Services (CMS) quality requirements. ⋯ The Safety without Restraint task force of Swedish Covenant Hospital was created to evaluate compliance with CMS restraint standards and identify discrepancies that would provide multiple opportunities to improve performance. The use of this model provided nurse leaders an opportunity to improve patient care as well as meet the CMS requirements for QAPI.