ECMO During a Pandemic: A COVID-19 Quality Improvement Process.
Extracorporeal membrane oxygenation is a modified form of cardiopulmonary bypass and a complex adult critical care therapy. No evidence appears to exist on sustaining relevant quality nursing standards during a pandemic. The aim for this quality improvement process was to address nursing provision i...
| Publicado en: | AACN Advanced Critical Care Vol. 32; no. 3; pp. 247 - 264 |
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| Autores principales: | , , |
| Formato: | algorithm research tables/charts Journal Article |
| Publicado: |
American Association of Critical-Care Nurses
Fall2021
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=152315707&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 152315707 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 15597768 26ZY jtl: AACN Advanced Critical Care issn: 15597768 maglogo: N pubinfo: dt: Fall2021 vid: 32 iid: 3 pid: 2559 pub: American Association of Critical-Care Nurses place: Alisa Veijo, California artinfo: ui: 152315707 152315707 152315707 10.4037/aacnacc2021446 152315707 ppf: 247 ppct: 17 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: ECMO During a Pandemic: A COVID-19 Quality Improvement Process. aug: au: Tukacs, Monika Singh, Darshani Halliday, Catherine A. affil: Monika Tukacs is Nurse Clinician, Department of Nursing and Department of Cardiothoracic Intensive Care Unit, New York-Presbyterian/Columbia University Irving Medical Center, 177 Fort Washington Avenue, New York, NY 10032 sug: subj: Extracorporeal Membrane Oxygenation Standards COVID-19 Pandemic Quality Improvement Nursing Interventions Human Program Implementation Nurses Education Root Cause Analysis Intensive Care Units Decision Making, Clinical Descriptive Statistics Patient Safety ab: Extracorporeal membrane oxygenation is a modified form of cardiopulmonary bypass and a complex adult critical care therapy. No evidence appears to exist on sustaining relevant quality nursing standards during a pandemic. The aim for this quality improvement process was to address nursing provision in real time related to extracorporeal membrane oxygenation in a pandemic, providing fundamentals for future readiness. The Ishikawa fishbone diagram and a Plan-Do-Study-Act cycle were methods used. Process changes included implementation of a communication algorithm, an alternative nursing care model, increased nursing staffing and leadership visibility, use of perfusion services for nursing task support, and minimized nursing documentation. Changes applied were successful. We recommend increasing nursing staffing volume and support resources, applying a communication algorithm, and minimizing documentation requirements. These strategies are generalizable to other clinical nursing areas in similar pandemics or disasters. pubtype: Academic Journal doctype: algorithm research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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