Medsurg nursing : official journal of the Academy of Medical-Surgical Nurses
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Staff members on a medical-surgical unit in a large community teaching hospital adapted the hourly rounding concept to their specific patient population. Lessons learned and strategies to assure continuous success with the rounding process are addressed.
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Early recognition and treatment of sepsis reduces mortality (Dellinger et al., 2008). Nurses are a critical part of the health care team that provides evidence-based care to prevent, identify, and promptly treat sepsis in the hospital setting.
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Health care facilities that utilize patient and family advisors are experiencing improved outcomes in decreased length of stay, and improved reimbursements and patient satisfaction. Patient and family advisors can be strong allies in ongoing performance improvement efforts. Perhaps even more importantly, involving advisors in health care systems encourages treatment of the whole patient as he or she would want to be treated
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A fast track program was implemented using best practices to prevent postoperative ileus. Patients receiving traditional care for bowel surgery were compared to patients on the fast track program. The incidence of ileus decreased 43%, and length of stay decreased 1.352 days.