Evaluating the effect of nurse-initiated discussion of infection management during ICU bedside rounds

BMJ Open Quality

article

Linda Dresser¹  Madeleine S Stephen³  Mark McIntyre¹  Linda Jorgoni¹  Sarah C J Jorgensen¹  Sandra Nelson⁵  Chaim Bell¹  Andrew M Morris¹ 

[1] Antimicrobial Stewardship Program , Sinai Health/University Health Network;Leslie Dan Faculty of Pharmacy , University of Toronto;Faculty of Medicine , University of Ottawa;Department of Pharmacy , Sinai Health;Department of Pharmacy , Sunnybrook Health Sciences Centre;Division of Internal Medicine , Sinai Health;Department of Medicine , University of Toronto

关键词: antibiotic management;    audit and feedback;    healthcare quality improvement;    infection control;    nurses;   

DOI  :  10.1136/bmjoq-2020-001037

学科分类：药学

来源: BMJ Publishing Group

【 摘 要 】

Intensive care unit (ICU) antimicrobialstewardship (AMS) interventions generallydo not include nurses although their role isincreasingly recognised.1–4 Previous literaturedescribed inclusion of nurses and nurse-ledAMS interventions outside of ICU dailybedside rounds.5 6 After using a structuredquality improvement (QI) evaluation of thedaily bedside rounding model of the ICUclinical team we hypothesised the additionof ‘infection’ as an entity in the ICU nurses’structured daily report would improve interprofessional discussion of infection management.

【 授权许可】

CC BY-NC|CC BY|CC BY-NC-ND