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Application of new Alexandria quality checklist in intensive care units in Alexandria main University hospital and its effect on patients outcome

作者
Wafaa Mohamed Elsehly,Mohamed Megahed,Hassan, Islam
出处
期刊:CERN European Organization for Nuclear Research - Zenodo [European Organization for Nuclear Research]
标识
DOI:10.5281/zenodo.7364088
摘要

ABSTRACT Quality checklist is a newly designed checklist used to improve quality of medical care in intensive care unit through following certain rules and regulations. In the present study, this checklist was applied daily during clinical rounds in intensive care unit three (ICU3) in Alexandria Main University Hospital for three months for all patient admitted to ICU3. The results of this group were compared to retrospective results from previous three months before application of the checklist. The study showed no significant difference in baseline assessment data, while showed significant improvement in mortality rates, decrease in rates of ventilator associated pneumonia and central venous line infection and head of bed elevation. Moreover, no significant difference was founded in urinary tract infection related to urinary catheter insertion. From this study it was concluded that the use of quality checklist in daily (ICU) clinical rounds may improve both mortality rates and morbidity. So, it was recommended that the application of this checklist should be on wide scale in all intensive care units. Keywords: checklist, ICU, quality, Alexandria REFERENCES Morrow DG, Leirer VO, Andrassy JM, Hier CM, Menard WE. The influence of list format and category headers on age differences in understanding medication instructions. Exp Aging Re1998;24:231-56. Harrahill M, Bartkus E. Preparing the trauma patient for transfer. J EmergNurs 1990;16:25-8. Hart EM, Owen H. Errors and omissions in anesthesia: a pilot study using a pilot's checklist. AnesthAnalg 2005;101:246-50. Dubose J, Teixeira PGR, Inaba K. Measurable outcomes of quality improvement using a daily quality rounds checklist: one-yearanalysis in a trauma intensive care unit with sustained ventilator-associated pneumonia reduction. Trauma 2010;69(4):855-60. Pronovost P, Needham D, Berenholtz S, David Sinopoli, HaitaoChu.An,et al. intervention to decrease catheter-related bloodstream infections in the ICU. N Engl J Med 2006;355(26):2725-32. MarstellerHYPERLINK "http://www.ncbi.nlm.nih.gov/pubmed/?term=Marsteller%20JA%5BAuthor%5D&cauthor=true&cauthor_uid=22890251" JA, 55Sexton JB, 55Hsu YJ, 55Hsiao CJ, 55Holzmueller CG, 55Pronovost PJ, et al .A multicenter, phased, cluster-randomized controlled trial to reduce central line-associated bloodstream infections in intensive care units. Critical Care Med 2012;40(11):2933-9. Wolff AM, Taylor SA, McCabe JF. Using checklists and reminders in clinical pathways to improve hospital inpatient care. Med J Aust 2004;181:428-31. Walsh TS, Dodds S, McArdle F. Evaluation of simple criteria to predict successful weaning from mechanical ventilation in intensive care patients. Br J Anaesth 2004;92:793-9. Schectman JM, Schorling JB, Nadkarni MM, Lyman JA, Siadaty MS, Voss JD. The effect of physician feedback and an action checklist on diabetes care measures. Am J Med Qual 2004;19:207- Pronovost P, Berenholtz S, Dorman T, Lipsett PA, Simmonds T, Haraden C. Improving communication in the ICU using daily goals. J Crit Care 2003;18:71-5. Preflight checklist’ builds safety culture, reduces nurse turnover. OR Manager 2003;19(1):8-10. Manley R, Cuddeford JD. An assessment of the effectiveness of the revised FDA checklist. AANA J 1996;64:277-82. Sateesh Pujari, & Estari Mamidala. (2015). Anti-diabetic activity of Physagulin-F isolated from Physalis angulata fruits. The American Journal of Science and Medical Research, 1(2), 53–60. https://doi.org/10.5281/zenodo.7352308 Scriven M. The Logic and Methodology of Checklists [dissertation]. Claremont, CA: Claremont Graduate University; 2000. Gawande A. The checklist: if something so simple can transform intensive care, what else can it do? New Yorker. 10 December 2007; Annals of Medicine section 1-8. Writing Group for the CHECKLIST-ICU Investigators and the Brazilian Research in Intensive Care Network (BRICNet), Cavalcanti AB, Bozza FA, Machado FR, Salluh JIF, Campagnucci VP, et al. Effect of a Quality Improvement Intervention With Daily Round Checklists, Goal Setting, and Clinician Prompting on Mortality of Critically Ill Patients: A Randomized Clinical Trial. JAMA 2016;315(14):1480–90. Ko HC, Turner TJ, Finnigan MA. Systematic review of safety checklists for use by medical careteams in acute hospital settings: limited evidence of effectiveness.BMC Health Serv Res 2011;11:211. Knaus WA, Draper EA, Wagner DP, Zimmerman JE (1985). "APACHE II: a severity of disease classification system". Critical Care Medicine. (This is the first published description of the APACHE II scoring system) Cook, D (2000). "Ventilator associated pneumonia: perspectives on the burden of illness.". Rea-Neto A, Youssef NC, Tuche F et al. Diagnosis of ventilator-associated pneumonia: a systematic review of the literature. Crit. Care 12(2), R56(2008) CLABSI guidelines CDC January 2012 Intensive Care Medicine.Medication Errors Observed in 36 Health Care FacilitiesKenneth N. Barker, PhD; Elizabeth A. Flynn, PhD; Ginette A. Pepper, PhD; et alDavid W. Bates, MD, MSc; Robert L. Mikeal, PhD ,Arch Intern Med. 2002;162(16):1897-1903. doi:10.1001/archinte.162.16.1897

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