QI study in the ICU; bedside testing of gastric contents

Article Abstract:

Critically ill patients have a high risk of stress ulcer syndrome (SUS), and monitoring gastric contents for gastric acid and occult blood is a way to prevent SUS. A study comparing bedside tests for gastric contents favored changing from the litmus paper and fecal occult slide test to the Gastroccult slide test. The latter incorporates both acid interpretation and gastric aspirate occult testing into one tool. Prophylactic treatment for SUS is costly and has known side effects, so SUS prevention is important.

Equipment and supplies, Prevention, Intensive care units, Stomach ulcer

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Testing an electronic documentation system

Article Abstract:

One hospital's experience testing an electronic documentation system is described. The hospital decided to automate the patient medical record. The system was first tested by two alpha nursing teams, who received computer-based training and access to a 24-hour hotline manned by the project team. Following their suggestions and recommendations, the system was rolled out to the beta teams, who received the same training. The system improved documentation compliance.

Testing, Information management, Medical records, Data processing, Electronic data processing

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Coordinating preoperative outpatient testing

Article Abstract:

The establishment of an outpatient coordinator at Laurel Regional Hospital reduced surgical delays 80%. This was done to coordinate all tests done before outpatient surgery, many of which are done days before surgery. Another new position was the scheduling coordinator who kept track of scheduled tests. In addition to reducing surgical delays, this program reduced cancellation rates from 7% to 1%.

Methods, Management, Ambulatory medical care, Ambulatory care, Surgery, Outpatient, Ambulatory surgery

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