摘要:

Traditionally, standards are used to define the level of care that a patient can expect to receive in a given institution or on a given nursing unit. These standards are the foundation of quality assurance programs. Unfortunately, with the increased emphasis on monitoring care, many standards are being written after the quality assurance activities have been developed and are in place. Often, standards are placed neatly in a book that is dusted off and brought out when the Joint Commission for Accreditation of Healthcare Organizations representative (JCAHO) visits. The nursing staff at the unit level has no real knowledge or understanding of the standards. This may result in a nonfunctioning quality assurance program

ISSN:1046-7467    

出版商:OVID    

年代:1991

数据来源: OVID

摘要:

Implementing a quality assurance program at the unit level in intensive care can be accomplished smoothly if certain key elements are included in the implementation process. For the program to be successful, all of these elements are essential

ISSN:1046-7467    

出版商:OVID    

年代:1991

数据来源: OVID

摘要:

Each critical care unit has a responsibility to develop a quality assurance process to evaluate nursing practice. Staff members at Shawnee Mission Medical Center (SMMC) developed a protocol, based on the Marker Model,1to establish standards of care related to care of the patient requiring mechanical ventilation. The quality assurance process used to monitor implementation of the standards is described

ISSN:1046-7467    

出版商:OVID    

年代:1991

数据来源: OVID

摘要:

Health care professionals are committed to the continual improvement of the quality of patient care. The Joint Commission on the Accreditation of Healthcare Organizations (JCAHO) has launched a major research and development project intended to improve its ability to evaluate health care organizations and encourage greater attention to the quality of daily patient care. This chapter describes JCAHO's challenge to evaluate capability and performance of health care organizations and practitioners. The intent of JCAHO's agenda for change is to focus on patient outcomes and quality improvement through a more precise and objective evaluation of both clinical and managerial performance. Through the agenda for change, JCAHO and the health care organization will participate in a continuous-flow monitoring system in which clinical and organizational data are transmitted from the field to JCAHO, analyzed, and fed back to the health care organization

ISSN:1046-7467    

出版商:OVID    

年代:1991

数据来源: OVID

摘要:

In the critical care unit setting, a quality assurance program is based on the Joint Commission on the Accreditation of Healthcare Organizations (JCAHO) ten-step model for monitoring and evaluation. The addition of nursing standards of patient care and standards of nursing practice to that ten-step model provides the vital link between patient expectations, staff performance, and quality assurance in that unit

ISSN:1046-7467    

出版商:OVID    

年代:1991

数据来源: OVID

ISSN:1046-7467    

出版商:OVID    

年代:1991

数据来源: OVID

ISSN:1046-7467    

出版商:OVID    

年代:1991

数据来源: OVID

摘要:

Cardiac pacing has evolved considerably over the past 30 years. Early pacemakers were nonprogrammable asynchronous devices which prevented asystole, syncope, and death. The current generation of implantable devices is much more sophisticated. With multiprogrammable features, these devices are intended not only to save life but also to improve the quality of life. This chapter reviews the pacemaker mode-code, indications, electronic circuitry, power sources, and programmable/telemetry features of current devices

ISSN:1046-7467    

出版商:OVID    

年代:1991

数据来源: OVID

摘要:

The use of temporary cardiac pacing in critical care and stepdown units has grown tremendously over the past 10 years. While the concept of artificial pacing is simple, improvements in generator technology and lead design, along with broader clinical applications, have made temporary cardiac pacing more complex. Consequently, the critical care nurse is required to maintain an advanced level of knowledge regarding modes and complications of temporary pacing, and assessment skills related to recognizing pacemaker hemodynamic effects and pacemaker problems

ISSN:1046-7467    

出版商:OVID    

年代:1991

数据来源: OVID

摘要:

Pacemaker technology has experienced many advances. Today temporary pacing can be provided in several ways. This chapter examines one of these modalities, transcutaneous noninvasive pacing. In addition, this chapter reviews relevant historic milestones, describe transcutaneous pacing, state procedural aspects, and delineate important nursing aspects of care

ISSN:1046-7467    

出版商:OVID    

年代:1991

数据来源: OVID