A Nurse-Led QI Project to Reduce ED to ICU Transition Time

Countless studies conclude that the longer an admitted patient boards in an emergency department (ED) the greater the risk for negative outcomes such as falls and hospital-acquired conditions. ED patients waiting for admission to the intensive care unit (ICU) may be at the greatest risk, as they are categorized as critical.

Transporting critical patients from the ED to the ICU requires coordination of multiple clinicians from both units, which can lead to delays. Leading and managing these coordination efforts is a challenge. However we are optimistic as small tests of change have led us to advancements in the timeliness of ICU admissions and improvements in quality and safety.

-Jonathan Nover, MBA RN, senior director of nursing, Mount Sinai Queens

The Project

Geneline Barayuga, MSN RN

The ED and ICU teams at Mount Sinai Queens, a 165-bed hospital with 70,000 annual ED visits in Queens, New York, performed a quality improvement (QI) project by developing a collaborative approach between the ICU and ED charge nurses to reduce the median boarding time […]

2023-12-11T10:17:23-05:00December 11th, 2023|Nursing, Quality improvement|0 Comments
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HIV Update, Nurses’ Insights on Medication Safety: Recommended Reading in AJN’s December Issue

The December issue of AJN is now live.

World AIDS Day is commemorated on December 1 (see On the Cover). In this issue, you’ll find several articles related to HIV/AIDS:

Despite more than two decades of efforts to reduce medication errors, such errors remain prevalent. This month’s Original Research article, “Exploring Medication Safety Practices from the Nurse’s Perspective,” explores direct care nurses’ experiences with and perspectives on medication safety practices and errors.

Our December CE article, “Suicide Prevention: Protecting the Future of Nurses,” examines the state of nurse suicide, the latest statistics on nurse suicide rates, contributing factors, and current suicide prevention programs.

What is […]

2023-11-27T10:36:41-05:00November 27th, 2023|Nursing|0 Comments
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Can Nursing Students Benefit from Using Artificial Intelligence?

A series of surprising developments including the release of generative chatbots like ChatGPT has rapidly increased awareness of the growing capabilities of artificial intelligence (AI), sending shock waves through the research, academic, and nursing education community. As a nurse educator, I initially became interested in the power of AI (in all its forms) to speed the research process and improve investigator workflows. Over time, it became evident that nursing students might benefit from AI in their study methods and when acquiring nursing knowledge to support their academic success.

Photo by John Schnobrich/Unsplash

To better understand this, it is helpful to consider the three fundamental stages in which nursing students acquire knowledge and explore how AI can play a pivotal role in each stage. This blog post will include an overview of AI-powered tools with example prompts to guide students’ academic efforts.

Preparation–Cognitive Stage

In this stage, nursing students are mastering knowledge foundational to nursing practice, including remembering and retaining facts and essential concepts. Students find themselves in this stage when they are learning new content. Open-access large language models (LLMs) in the form of chatbots can support students in this stage by providing concise summaries of pathophysiology, pharmacology, and disease management. AI can also serve as […]

2024-01-25T10:18:12-05:00November 15th, 2023|artificial intelligence (AI), Nursing, Technology|1 Comment
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Trust Your Gut: The Profound Implications of the Microbiome for Our Health

The transformative potential of the microbiome.

I’ve always considered the saying “trust your gut” to be a directive to respond to one’s innate instincts. However, as a gastroenterology clinical nurse specialist, I now recognize there can be a literal meaning to that phrase with the recent discovery of the microbiome and its implications for our health. The microbiome has yielded significant recent research discoveries for health promotion and has the potential to radically transform our diagnosis and management of disease and health disorders.

Microbiologists have actually suggested the microbiome be considered a human organ. Our CE article in AJN’s November issue, Current and Emerging Applications of Fecal Microbiota Transplantation, highlights how a disrupted microbiome, manifesting as Clostridium difficile (C. difficile) infection that is nonresponsive to first-line antibiotic treatment, can be effectively and quickly treated with transplantation of a diverse, microbiota-rich stool from a healthy donor.

But what is the microbiome?

The microbiome consists of the trillions of microorganisms that naturally live […]

2023-10-30T10:43:42-04:00October 30th, 2023|Nursing|0 Comments
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Military Environmental Exposures: Recommended Reading in AJN’s November Issue

The November issue of AJN is now live.

What should nurses know about caring for people who have been exposed to potentially harmful agents—such as air pollutants, chemicals, radiation, warfare agents, and materials containing asbestos and lead—during military service? Read “Military Environmental Exposures” to find out.

Our November CE article, “Recognizing Transfusion-Associated Circulatory Overload,” reviews the most current definitions of this adverse transfusion reaction and outlines its characteristics and management.

“What Health Care Staff Who Experienced Assisted Patient Falls Can Teach Us: Implications for Fall and Fall Injury Risk,” presents qualitative findings from a QI project aimed at improving guidance for staff on the risks of assisting falling patients.

“Nursing Research, Step by Step: Sample Size Planning in Quantitative Nursing Research,” one in a series on clinical research by nurses, describes how to determine an appropriate sample size for a quantitative research project, and introduces the concepts of error, power, and effect size.

In “Optimizing Blood Culture Collection Volumes,” the authors discuss a QI project they conducted to understand the causes of underfilled and overfilled blood cultures obtained by nurses and PCTs and to reduce their incidence.

See also the extensive […]

2023-10-26T11:59:45-04:00October 26th, 2023|Nursing|0 Comments
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Views expressed on the blog are solely those of the authors or persons quoted. They do not necessarily reflect AJN’s views or those of Wolters Kluwer Health/Lippincott Williams and Wilkins.
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