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Management: Hospitals

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Total 262 results found since Jan 2013.

In Situ Simulation to Improve Management of In-Hospital Strokes: Unexpected Challenges
In-hospital strokes are life-threatening emergencies that require prompt and skillful treatment to prevent poor patient outcomes. Currently, however, a national gap in care exists for patients who experience an in-hospital stroke.
Source: Clinical Simulation in Nursing - October 24, 2018 Category: Nursing Authors: Sarah Rollison, Robert Blessing, Michele L. Kuszajewski, Virginia C. Muckler Tags: Featured Article Source Type: research

Blackpool patient poisoning suspect understood to be nurse
A nurse from Blackpool Teaching Hospitals Foundation Trust has been arrested on suspicion of administering poison to stroke patients.
Source: Nursing Times - November 20, 2018 Category: Nursing Source Type: news

Guideline-based Management of Patients With Atrial Fibrillation
Atrial fibrillation (AF) has become a significant public health concern. An epidemiologic study conducted in 2010 estimated there are over 33.5 million people worldwide diagnosed with AF with that number predicted to rise by 5% annually. In the United States, AF is the primary diagnosis in over 500,000 hospital admissions annually. Guideline-based knowledge of treatment options is imperative in decreasing stroke risk, prevention of worsening heart function, and maintaining quality of life. It is also important for nurse practitioners to have this knowledge to make educated treatment recommendations to keep our patients saf...
Source: The Journal for Nurse Practitioners - November 20, 2018 Category: Nursing Authors: Christine Tacklind Tags: Feature Article Source Type: research

Nurse shortages at stroke unit leave patients 'calling out for help'
Staffing shortages at Mid Yorkshire Hospitals NHS Trust mean nurses are sometimes too hard-pressed to provide compassionate care, according to the organisation ’s latest inspection report.
Source: Nursing Times - December 12, 2018 Category: Nursing Source Type: news

Think Twice Before Using This Abbreviation
A patient with slurred speech and a facial droop presented to an emergency department late in the evening on a weekend. After rapid assessment, a probable diagnosis of stroke was made and alteplase was quickly prescribed. In this emergency department, this drug was commonly referred to as “t-PA.” Approaching the automated dispensing cabinet (ADC), the nurse typed “t” and “tenecteplase” appeared on the selection screen; he selected this drug and removed it from the cabinet. The Pharmacy and Therapeutics Committee of this hospital approved the use of tenecteplase (TNKase) f or ST segment elevation myocardial infa...
Source: Journal of Emergency Nursing: JEN - January 1, 2019 Category: Nursing Authors: Susan F. Paparella Tags: Danger Zone Source Type: research

Implementing best practice into the emergency department triage process
Discussion: The project sought to undertake a clinical audit of triage practice to evaluate the adherence of practice to evidence-based guidelines. The project has provided strong support for the implementation of a formal nursing role to support the care of waiting room patients, and act as a second triage nurse during periods of high activity. The physical triage environment has been identified as a barrier to optimal adherence to evidence-based practice guidelines. Using effective communication to manage the waiting experience of patients can have positive benefits for both patients and staff. What is known about the...
Source: International Journal of Evidence-Based Healthcare - March 1, 2019 Category: Nursing Tags: IMPLEMENTATION PROJECT Source Type: research

Common Post Cardiothoracic Surgery Arrhythmias
Cardiac arrhythmias are common after cardiac surgery and have profound sequelae. Bradycardias are typically transient and have reversible causes; however, persistent atrioventricular block is an indicator for permanent pacemaker implantation after valvular surgery. Transcatheter aortic valve surgery is associated with even higher rates of permanent pacemaker implantation. Atrial fibrillation, the most common postoperative arrhythmia, is associated with ischemic stroke, myocardial infarction, congestive heart failure, and short-term mortality. Ventricular arrhythmias have extremely high in-hospital mortality, as well as lon...
Source: Critical Care Nursing Clinics of North America - July 4, 2019 Category: Nursing Authors: Kirstan Clay-Weinfeld, Melissa Callans Source Type: research

Common Postcardiothoracic Surgery Arrhythmias
Cardiac arrhythmias are common after cardiac surgery and have profound sequelae. Bradycardias are typically transient and have reversible causes; however, persistent atrioventricular block is an indicator for permanent pacemaker implantation after valvular surgery. Transcatheter aortic valve surgery is associated with even higher rates of permanent pacemaker implantation. Atrial fibrillation, the most common postoperative arrhythmia, is associated with ischemic stroke, myocardial infarction, congestive heart failure, and short-term mortality. Ventricular arrhythmias have extremely high in-hospital mortality, as well as lon...
Source: Critical Care Nursing Clinics of North America - July 4, 2019 Category: Nursing Authors: Kirstan Clay-Weinfeld, Melissa Callans Source Type: research

Weight! Weight! … Don’t Tell Me!
Weight-based, lifesaving medications are commonly used in hospitals and routinely used in emergency departments.1 Many weight-based medications are listed in the Institute for Safe Medication Practices (ISMP) high-alert medication list. According to ISMP, “high-alert medications are drugs that bear a heightened risk of causing significant patient harm when they are used in error.”2 These frequently used medications include anticoagulants (eg, heparin and enoxaparin), antibiotics for septic shock (eg, vancomycin and tobramycin), fibrinolytic agent s for stroke (eg, alteplase), and antiepileptic drugs (eg, phenytoin and fosphenytoin).
Source: Journal of Emergency Nursing: JEN - August 22, 2019 Category: Nursing Authors: Avani Bhalodia, Mona Hammam, Susan F. Paparella Tags: Danger Zone Source Type: research

Beware of Discharge: A Case Exploring the Ethics of Societal Expectations Placed on Families at Hospital Discharge
As the population ages and medical therapies advance, more individuals are living in the community with complex health conditions. These individuals, as well as their clinicians, often assume their family members and friends will be capable of, and willing to, provide the caregiving work necessary to continue living at home. There is an ethical problem in this assumption that unpaid community care will be provided by family or friends. Using the Hunt and Ells Patient-Centered Care Ethics Analysis Model for Rehabilitation (2013), this article explores the ethical considerations involved in the hospital discharge planning of...
Source: Home Healthcare Nurse - March 1, 2020 Category: Nursing Tags: Feature Source Type: research

Introducing an oral care assessment tool with advanced cleaning products into a high-risk clinical setting.
This study aimed to establish whether the use of a 24-hour oral care kit and an oral care assessment tool can meet the needs of patients on an acute stroke unit. In comparison with the same period the preceding year, the introduction of the oral care kit and assessment tool improved compliance with oral care by more than 4 times; the overall costs of antibiotics to treat NV-HAP patients fell by 79%, with the number of doses falling by 70%, and the mortality rate decreased from 27% to 20%. According to a survey of multidisciplinary team (MDT) members keeping oral care tools available at the point of use saved time, and the ...
Source: British Journal of Nursing - March 11, 2020 Category: Nursing Authors: Chick A, Wynne A Tags: Br J Nurs Source Type: research

Psychometric properties of the care dependency scale in stroke survivors in Indonesian hospitals
Publication date: Available online 8 July 2020Source: International Journal of Nursing SciencesAuthor(s): Nursiswati Nursiswati, Ruud JG. Halfens, Christa Lohrmann
Source: International Journal of Nursing Sciences - July 9, 2020 Category: Nursing Source Type: research

Scientific Approach to Assess if Change Led to Improvement —Methods for Statistical Process Control Analysis in Quality Improvement
Quality improvement is an expectation in most hospitals and emergency departments throughout the United States. With hospitals requiring reporting on key metrics such as readmission rates, time to thrombolytic administration in stroke, or time to cardiac catheterization laboratory activation for ST-elevation myocardial infarctions, many emergency departments deploy quality improvement teams to monitor and improve these metrics and others to promote quality and safety. Emergency nurses and managers are key members and leaders of these quality improvement teams.
Source: Journal of Emergency Nursing: JEN - October 23, 2020 Category: Nursing Authors: Maegan S. Reynolds, Sandra P. Spencer, Ashley Dunaway, Don Buckingham, Thomas Bartman Tags: Understanding Research Source Type: research

Critical Care Resource Nurse Team: A Patient Safety and Quality Outcomes Model
Dimens Crit Care Nurs. 2022 Jan-Feb 01;41(1):46-53. doi: 10.1097/DCC.0000000000000501.ABSTRACTThe Critical Care Resource Nurse Team (CCRNT) evolved from our traditional Rapid Response Team (RRT). The CCRNT is a unique paradigm created using the conceptual framework of the American Association of Critical Care Nursing Synergy Model for Patient Care. The goal of the CCRNT is to help align nurse competencies with patient needs. This team was seen as a much-needed strong clinical support by nursing leadership as large numbers of inexperienced new graduate registered nurses were hired and senior experienced nurses were leaving ...
Source: Dimensions in Critical Care Nursing - November 24, 2021 Category: Nursing Authors: Katherine Christopher-Dwyer Katherine G Scanlon Janet T Crimlisk Source Type: research