Developing and implementing quality initiatives in the ICU: strategies and outcomes

Sherry Harrigan, Debra Hurst, Claire Lee, Vickie Christie, R Brian Wolfe, Daryl Morrical, Ruth Kleinpell
Critical Care Nursing Clinics of North America 2006, 18 (4): 469-79, ix
The Institute of Medicine identifies quality health care as care that is safe, time, effective, efficient, equitable, and patient centered. In the ICU, where patients who have complex, high-acuity are at increased risk of complications, morbidity, and mortality, promoting quality-focused case is especially important. This article describes several performance-improvement initiatives that were developed and implemented a Midwestern community hospital during a 4-year period. The initiatives to reduce catheter-associated blood stream infections, to identify early sepsis, and to promote evidence-based care.

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