15.00
Hdl Handle:
http://hdl.handle.net/10755/156972
Category:
Abstract
Type:
Presentation
Title:
To Systemness and Beyond! A Best Practice Story
Author(s):
Dickerson, Lianne L.
Author Details:
Lianne L. Dickerson, RN,BSN,CCRN, Grant Medical Center, Logan, Ohio, USA, email: ldickers@ohiohealth.com
Abstract:
PURPOSE: The Central Ohio OhioHealth Critical Care Committee, formed in June of 2008, is a multidisciplinary team charged with advancing critical care medicine across our hospital system through standardization of evidence-based best practice. The committee includes 5 hospitals located in central Ohio, serving a large portion of greater Columbus and several surrounding counties. DESCRIPTION: Before this committee there was no forum for discussion of critical care practice at the system level. Patients at different hospitals received slightly different care and nurses practicing at multiple hospitals had to know a variety of practices for each disease process. The Board of Directors posed the question why standardization of best practice was not in place across our multihospital system. The critical care leadership identified this as an opportunity and partnered with our system CMO on this new endeavor. Membership includes nursing, physicians, pharmacists, respiratory, and infection control practitioners from each hospital. The starting step for each project is a review of the literature, current hospital protocols, and understanding reasons for different practices at the hospitals and how those practices relate to evidence based best practice. Dialogue is always open and honest with focus on improving the health of critically ill patients. A lead is selected for each project that facilitates communication and progress with a portion of the work completed via e-mail to ensure meetings are most productive. Our goal is to provide our patients with standardized, evidence-based practice at each of our hospitals. EVALUATION/OUTCOMES:Accomplishments in the first year included development of several systemwide critical care protocols including electrolyte replacement, analgesia/sedation for ventilated patients, delirium prevention and screening, neuromuscular blockade, and ICU admission orders. Our team partnered with local EMS in creating the Hypothermia Post Cardiac Arrest protocol to ensure continuity of care from the prehospital setting where cooling is often initiated. We collaborate with other hospitals in our community on development of an H1N1 protocol in ICU and outcomes measurement. Our focus remains on improving care of critically ill patients but our scope has increased from one hospital to our system and beyond.
Repository Posting Date:
26-Oct-2011
Date of Publication:
26-Oct-2011
Citation:
2010 National Teaching Institute Research Abstracts. American Journal of Critical Care, 19(3), e15-e28. doi:10.4037/ajcc2010866
Conference Date:
2010
Conference Name:
National Teaching Institute and Critical Care Exposition
Conference Host:
American Association of Critical-Care Nurses
Conference Location:
Washington, D.C., USA
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleTo Systemness and Beyond! A Best Practice Storyen_GB
dc.contributor.authorDickerson, Lianne L.en_GB
dc.author.detailsLianne L. Dickerson, RN,BSN,CCRN, Grant Medical Center, Logan, Ohio, USA, email: ldickers@ohiohealth.comen_GB
dc.identifier.urihttp://hdl.handle.net/10755/156972-
dc.description.abstractPURPOSE: The Central Ohio OhioHealth Critical Care Committee, formed in June of 2008, is a multidisciplinary team charged with advancing critical care medicine across our hospital system through standardization of evidence-based best practice. The committee includes 5 hospitals located in central Ohio, serving a large portion of greater Columbus and several surrounding counties. DESCRIPTION: Before this committee there was no forum for discussion of critical care practice at the system level. Patients at different hospitals received slightly different care and nurses practicing at multiple hospitals had to know a variety of practices for each disease process. The Board of Directors posed the question why standardization of best practice was not in place across our multihospital system. The critical care leadership identified this as an opportunity and partnered with our system CMO on this new endeavor. Membership includes nursing, physicians, pharmacists, respiratory, and infection control practitioners from each hospital. The starting step for each project is a review of the literature, current hospital protocols, and understanding reasons for different practices at the hospitals and how those practices relate to evidence based best practice. Dialogue is always open and honest with focus on improving the health of critically ill patients. A lead is selected for each project that facilitates communication and progress with a portion of the work completed via e-mail to ensure meetings are most productive. Our goal is to provide our patients with standardized, evidence-based practice at each of our hospitals. EVALUATION/OUTCOMES:Accomplishments in the first year included development of several systemwide critical care protocols including electrolyte replacement, analgesia/sedation for ventilated patients, delirium prevention and screening, neuromuscular blockade, and ICU admission orders. Our team partnered with local EMS in creating the Hypothermia Post Cardiac Arrest protocol to ensure continuity of care from the prehospital setting where cooling is often initiated. We collaborate with other hospitals in our community on development of an H1N1 protocol in ICU and outcomes measurement. Our focus remains on improving care of critically ill patients but our scope has increased from one hospital to our system and beyond.en_GB
dc.date.available2011-10-26T19:18:26Z-
dc.date.issued2011-10-26en_GB
dc.date.accessioned2011-10-26T19:18:26Z-
dc.identifier.citation2010 National Teaching Institute Research Abstracts. American Journal of Critical Care, 19(3), e15-e28. doi:10.4037/ajcc2010866en_GB
dc.conference.date2010en_GB
dc.conference.nameNational Teaching Institute and Critical Care Expositionen_GB
dc.conference.hostAmerican Association of Critical-Care Nursesen_GB
dc.conference.locationWashington, D.C., USAen_GB
dc.identifier.citation2010 National Teaching Institute Research Abstracts. American Journal of Critical Care, 19(3), e15-e28. doi:10.4037/ajcc2010866en_GB
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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