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COVID-19 and Nurse-Sensitive Indicators: Using Performance Improvement Teams to Address Quality Indicators During a

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Journal of Nursing Care Quality
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Innovative nursing strategies reduced healthcare-associated infections in critically ill COVID-19 patients. New protocols for central line-associated bloodstream infections (CLABSI) and prone positioning decreased infection rates, establishing a new standard of care.

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Area of Science:

  • Nursing Quality Improvement
  • Infection Prevention
  • Critical Care Medicine

Background:

  • Nurse-sensitive quality indicators are vital for assessing healthcare quality.
  • Critically ill COVID-19 patients significantly altered care standards, increasing healthcare-associated infections (HAIs).

Purpose of the Study:

  • To develop and implement innovative strategies to combat rising HAIs in critically ill COVID-19 patients.
  • To re-establish quality and safety standards within the intensive care unit.

Main Methods:

  • Nursing performance improvement teams facilitated real-time strategy development and implementation.
  • Frontline clinicians were integral to deploying new practice interventions.
  • Specific interventions included a COVID-19 CLABSI Tip Sheet and a Prone Positioning Kit for HAPI Prevention.

Main Results:

  • The developed strategies, including the CLABSI Tip Sheet and Prone Positioning Kit, directly addressed quality of care issues.
  • Implementation of these interventions led to a measurable decline in HAIs.

Conclusions:

  • Innovative nursing practice strategies effectively reduced HAIs in COVID-19 patients.
  • These strategies have established a new, improved standard of care for this patient population.