Quality and safety in intensive care-A means to an end is critical

Hewson-Conroy, KM; Elliott, D; Burrell, AR

Quality and safety in intensive care-A means to an end is critical

Hewson-Conroy, KM Elliott, D

Burrell, AR

Permalink

Publication Type:: Journal Article
Citation:: Australian Critical Care, 2010, 23 (3), pp. 109 - 129
Issue Date:: 2010-08-01

Closed Access

	Filename	Description	Size
	2010000967OK.pdf		284.46 kB	Adobe PDF	View/Open

Copyright Clearance Process

Recently Added
In Progress
Closed Access

This item is closed access and not available.

Full metadata record

Field	Value	Language
dc.contributor.author	Hewson-Conroy, KM	en_US
dc.contributor.author	Elliott, D https://orcid.org/0000-0002-6081-5442	en_US
dc.contributor.author	Burrell, AR	en_US
dc.date.available	2009-12-01	en_US
dc.date.issued	2010-08-01	en_US
dc.identifier.citation	Australian Critical Care, 2010, 23 (3), pp. 109 - 129	en_US
dc.identifier.issn	1036-7314	en_US
dc.identifier.uri	http://hdl.handle.net/10453/17116
dc.description.abstract	Background: To achieve improvement in healthcare quality and safety, all four domains (outcome, process, structure and culture) must be considered in conjunction with the best available clinical evidence to improve patient care and reduce harm. A range of improvement initiatives have targeted processes of care in recognition of: (1) complexities of patient care and (2) evidence that a large portion of adverse events are preventable, occur during ongoing care, and result in poorer patient outcomes. Purpose: The aims of this paper are to: (1) outline national and international quality and safety initiatives; (2) identify evidence-based processes of care applicable to the general adult ICU patient population; (3) summarise the literature on relevant quality improvement strategies. Methods: An integrative literature review was conducted by: (1) database search of Ovid Medline, CINAHL, EMBASE and Cochrane for articles published between 1996 and October 2009; (2) identification of additional studies from articles obtained; (3) purposive internet search identifying relevant quality and safety initiatives. Findings: Quality improvement initiatives across the globe were identified, with ensuing focus on how the development, implementation and evaluation of evidence-based processes of care can lead to improvements in the delivery and outcomes of intensive care practice. Variation in practice and methodological limitations of existing studies were also noted, highlighting the need for innovative approaches to improving processes in the ICU. Conclusion: This integrative review has outlined potential for achieving practice improvements in intensive care and highlighted the need for further evaluative research to improve patient care at the bedside. © 2009 Australian College of Critical Care Nurses Ltd.	en_US
dc.relation.ispartof	Australian Critical Care	en_US
dc.relation.isbasedon	10.1016/j.aucc.2009.12.001	en_US
dc.subject.classification	Nursing	en_US
dc.subject.mesh	Humans	en_US
dc.subject.mesh	Intensive Care	en_US
dc.subject.mesh	Evidence-Based Medicine	en_US
dc.subject.mesh	Safety Management	en_US
dc.subject.mesh	Organizational Culture	en_US
dc.subject.mesh	Outcome and Process Assessment (Health Care)	en_US
dc.subject.mesh	Quality Assurance, Health Care	en_US
dc.subject.mesh	Critical Care	en_US
dc.subject.mesh	Outcome and Process Assessment, Health Care	en_US
dc.title	Quality and safety in intensive care-A means to an end is critical	en_US
dc.type	Journal Article
utslib.citation.volume	3	en_US
utslib.citation.volume	23	en_US
utslib.for	1110 Nursing	en_US
utslib.for	1103 Clinical Sciences	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Nursing
pubs.organisational-group	/University of Technology Sydney/Strength - CHSP - Health Services and Practice
utslib.copyright.status	closed_access
pubs.issue	3	en_US
pubs.publication-status	Published	en_US
pubs.volume	23	en_US

Abstract:

Background: To achieve improvement in healthcare quality and safety, all four domains (outcome, process, structure and culture) must be considered in conjunction with the best available clinical evidence to improve patient care and reduce harm. A range of improvement initiatives have targeted processes of care in recognition of: (1) complexities of patient care and (2) evidence that a large portion of adverse events are preventable, occur during ongoing care, and result in poorer patient outcomes. Purpose: The aims of this paper are to: (1) outline national and international quality and safety initiatives; (2) identify evidence-based processes of care applicable to the general adult ICU patient population; (3) summarise the literature on relevant quality improvement strategies. Methods: An integrative literature review was conducted by: (1) database search of Ovid Medline, CINAHL, EMBASE and Cochrane for articles published between 1996 and October 2009; (2) identification of additional studies from articles obtained; (3) purposive internet search identifying relevant quality and safety initiatives. Findings: Quality improvement initiatives across the globe were identified, with ensuing focus on how the development, implementation and evaluation of evidence-based processes of care can lead to improvements in the delivery and outcomes of intensive care practice. Variation in practice and methodological limitations of existing studies were also noted, highlighting the need for innovative approaches to improving processes in the ICU. Conclusion: This integrative review has outlined potential for achieving practice improvements in intensive care and highlighted the need for further evaluative research to improve patient care at the bedside. © 2009 Australian College of Critical Care Nurses Ltd.

Please use this identifier to cite or link to this item:

http://hdl.handle.net/10453/17116