2.50
Hdl Handle:
http://hdl.handle.net/10755/162820
Type:
Presentation
Title:
Utilization of Emergency Department Clinical Practice Guidelines
Abstract:
Utilization of Emergency Department Clinical Practice Guidelines
Conference Sponsor:Emergency Nurses Association
Conference Year:1997
Author:Waver, Melissa S., RN, MSN, CEN
Contact Address:, USA
Co-Authors:Leisa A. Kelly, RN, MS, CEN and Nancy K. Bailey, RN, BS, CEN
Clinical Topic: The influences of capitation and the desire to develop clinical indicators to monitor quality care prompted our emergency department to develop clinical practice guidelines (CPGs) Advocated by such authorities as the Agency for Health Care Policy and Research (AHCPR), CPGs stipulate a pattern of care, clarify expectations for quality care, and provide an avenue for implementation of research into practice.

Process of Implementation: A multidisciplinary committee convened and formulated these goals: Improve quality of patient care, improve ED CQI processes, reduce legal liability, and decrease treatment costs. Our process of CPG development includes: Chart review to establish current practice trends, literature review of available research and published standards, development of CPGs, staff education and pilot implementation, chart review, evaluation and revisions. Monthly CPG meetings are open to all interested ED staff. A bulletin board is maintained to keep staff apprised of meetings, CPG development, and evaluative data. CPGs developed to date include acute ankle injury, dysuria/urinary frequency, and non-traumatic chest pain. Staff place a copy of the CPG on the client chart at triage and follow the assessment and treatment protocol.

Outcomes: CPGs meld the resources of ENA Core Curriculum and ACEP Guidelines. The CPGs are collected at the end of the visit and ultimately the record is recalled for auditing. Audit of non-traumatic chest pain CPGs for November/December 1996 revealed that the clients were triaged quickly and EKGs obtained within 15 minutes. Low compliance was observed in documentation of standard criteria for evaluation of chest pain.

Recommendations for Clinical Practice: Successes of the project are revision of the current CQI processes and creation of a forum to implement departmental standards. Challenges faced include developing and collecting reliable clinical outcome data that can be utilized to improve delivery of ED services and development of CPGs that are truly multidisciplinary. Future benefits include assisting in the transition to computer documentation and allow foe tracking financial indices of patient care. [Clinical Poster Presentation]
Repository Posting Date:
27-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Emergency Nurses Association

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleUtilization of Emergency Department Clinical Practice Guidelinesen_GB
dc.identifier.urihttp://hdl.handle.net/10755/162820-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Utilization of Emergency Department Clinical Practice Guidelines</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Emergency Nurses Association</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">1997</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Waver, Melissa S., RN, MSN, CEN</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">, USA</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">res@ena.org</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Leisa A. Kelly, RN, MS, CEN and Nancy K. Bailey, RN, BS, CEN</td></tr><tr><td colspan="2" class="item-abstract">Clinical Topic: The influences of capitation and the desire to develop clinical indicators to monitor quality care prompted our emergency department to develop clinical practice guidelines (CPGs) Advocated by such authorities as the Agency for Health Care Policy and Research (AHCPR), CPGs stipulate a pattern of care, clarify expectations for quality care, and provide an avenue for implementation of research into practice.<br/><br/>Process of Implementation: A multidisciplinary committee convened and formulated these goals: Improve quality of patient care, improve ED CQI processes, reduce legal liability, and decrease treatment costs. Our process of CPG development includes: Chart review to establish current practice trends, literature review of available research and published standards, development of CPGs, staff education and pilot implementation, chart review, evaluation and revisions. Monthly CPG meetings are open to all interested ED staff. A bulletin board is maintained to keep staff apprised of meetings, CPG development, and evaluative data. CPGs developed to date include acute ankle injury, dysuria/urinary frequency, and non-traumatic chest pain. Staff place a copy of the CPG on the client chart at triage and follow the assessment and treatment protocol.<br/><br/>Outcomes: CPGs meld the resources of ENA Core Curriculum and ACEP Guidelines. The CPGs are collected at the end of the visit and ultimately the record is recalled for auditing. Audit of non-traumatic chest pain CPGs for November/December 1996 revealed that the clients were triaged quickly and EKGs obtained within 15 minutes. Low compliance was observed in documentation of standard criteria for evaluation of chest pain.<br/><br/>Recommendations for Clinical Practice: Successes of the project are revision of the current CQI processes and creation of a forum to implement departmental standards. Challenges faced include developing and collecting reliable clinical outcome data that can be utilized to improve delivery of ED services and development of CPGs that are truly multidisciplinary. Future benefits include assisting in the transition to computer documentation and allow foe tracking financial indices of patient care. [Clinical Poster Presentation]</td></tr></table>en_GB
dc.date.available2011-10-27T10:34:43Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-27T10:34:43Z-
dc.description.sponsorshipEmergency Nurses Associationen_GB
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