Expanding Continuous Quality Improvement Capacity in the Medical Intensive Care Unit: Prehealth Volunteers as a Solution.

作者: Kelsey C. Priest , Hannah Lobingier , Nancy McCully , Jackie Lombard , Mark Hansen

DOI: 10.1097/QMH.0000000000000090

关键词: Patient safetyIntensive care unitResource (project management)StaffingNursingMedicineProcess (engineering)Medical intensive care unitCritically illQuality management

摘要: Health care delivery systems are challenged to support the increasing demands for improving patient safety, satisfaction, and outcomes. Limited resources staffing common barriers making significant sustained improvements. At Oregon & Science University, medical intensive unit (MICU) leadership team faced internal capacity limitations conducting continuous quality improvement, specifically implementation evaluation of mobility portion an evidence-based bundle. The MICU successfully addressed this challenge using person power prehealth volunteers. In first year project, 52 trained volunteers executed intervention 305 critically ill patients, more than 200 000 exercise repetitions. contributed real-time with collection approximately 26 950 process measure data points. Prehealth untapped resource effectively expanding improvement in beyond.

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