RESUMO
We conducted a quality improvement project at our large, public, tertiary-care, academic hospital to reduce the standardized infection ratio (SIR) of hospital-acquired catheter-associated urinary tract infections (CAUTIs). Our diagnostic stewardship program, based on education and audit and feedback, significantly reduced inpatient urine culture orders and CAUTI SIR.
Assuntos
Infecções Relacionadas a Cateter , Infecção Hospitalar , Infecções Urinárias , Catéteres , Hospitais , Humanos , Melhoria de QualidadeRESUMO
14 strategies to safeguard nurses' mental health.
Assuntos
COVID-19 , COVID-19/epidemiologia , Emoções , Humanos , Saúde Mental , SARS-CoV-2RESUMO
BACKGROUND: Delays in first cases contribute to multiple operating room (OR) inefficiencies and decreases in OR productivity. METHODS: Lean process improvement methods were used to redesign the existing workflow for elective first cases of the day in a large, urban, public hospital. First case start times were prospectively recorded from May 2, 2016 through December 29, 2017. RESULTS: Data from 415 operating days were examined, 86 days prior to, 35 days during, and 294 days after implementation of interventions in the pre-operative holding area. During this time, of 23,891 operations performed, 14,981 were elective procedures, 5963 (39.8%) of which were first cases of the day. The mean rate of elective first case on-time starts per week went from 23.5% before and during to 73.0% after implementation of lean interventions (pâ¯<â¯0.0000001). CONCLUSIONS: Implementation of lean interventions in the pre-operative holding area was associated with significantly improved rates of elective first case on-time starts.