Assignment: Dialysis Quarterly Review

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Assignment: Dialysis Quarterly Review

Assignment: Dialysis Quarterly Review

ORDER NOW FOR AN ORIGINAL PAPER:Assignment: Dialysis Quarterly Review

Young et al. (2015)

Quasiexperimental, quality improvement project with pre- and postmeasurement design

$27,019 cost education (84 nurses; 41 PCTs)

Cost to care for single stage PrU can be up to $130,000, making this a good investment

Implementation of MEDLINE Pressure Ulcer Prevention program & Tracked for 24 months & Training: RN 7.5 hours, PCT 5.5 hours

& New skin care products & Algorithm for tx protocols

Significant reduction in nosocomial PrU preprogram (mean = 5.9) and postprogram (mean = 0.2)

Facility had nearly 6 PrUs per month, reduced to nearly 0

Note. CE = Continuing Education program; CLABSI = central line-associated bloodstream infections; ICDSC = Intensive Care Delirium Screening Check- list; LOS = length of stay; NPD = nursing professional development; PCTs = patient care technicians; PrU = pressure ulcer; QALYs = quality-adjusted life- years; ROI = return on investment; SSI = Surgical Site Infection; tx = treatment.

304 November/December 2018

Copyright © 2018 Wolters Kluwer Health, Inc. All rights reserved.

for two different programs: Peritoneal Dialysis Quarterly Review (reduce length of stay) and a Colon Clean Closure program (reduced surgical site infection). In 2017, their NPDpractitioners challenged themselves to each completed an ROI calculation for at least one project, resulting in a to- tal of 13 calculations. From this effort, they reported an increased awareness of program effectiveness and eco- nomic impact of the NPD department activities and a collection of objective data to help with ‘‘future project de- cision-making.’’ Garrison and Beverage listed lessons learned as the need to (a) identify an economic impact leader within NPD; (b) repeatedly revisit the topic with articles, examples, and reminders to keep NPD practi- tioners engaged; (c) lead by example through completing calculations and sharing them with the team; (d) offer as- sistancewith calculating financial impactwith projects; and (e) add measuring economic impact of programs to the planning stage of programs. This NPD department’s pro- cess to incorporate economic impact into their practice is a challenge to all NPD practitioners. With publication of more financial measures, the value of NPD contributions will become more apparent to decision makers.


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