Developing, implementing, and evaluating a multifaceted quality improvement intervention to promote sleep in an ICU.
Developing, implementing, and evaluating a multifaceted quality improvement intervention to promote sleep in an ICU.
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DOI：
10.1177/1062860613509684
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发表时间：
2014-11
期刊：
影响因子：
--
通讯作者：
Needham DM
中科院分区：
文献类型：
--
作者：
Kamdar BB;Yang J;King LM;Neufeld KJ;Bienvenu OJ;Rowden AM;Brower RG;Collop NA;Needham DM
由于各种可变因素，重症患者在重症监护病房(ICU)通常会经历较差的睡眠质量。为了解决这一问题，约翰霍普金斯医院医疗重症监护室(MICU)开展了一项覆盖整个ICU的多方面质量改进(QI)项目，以促进睡眠。为了补充先前发表的QI干预结果，本文描述了用于制定和实施这项干预措施的具体QI框架，它包括4个步骤：(A)总结证据以创建促进睡眠的干预措施清单，(B)确定和解决实施的局部障碍，(C)选择绩效指标来评估干预措施的依从性和患者结果，以及(D)通过工作人员参与和教育以及定期项目评估确保所有患者接受干预措施。绩效衡量包括日间和夜间睡眠改善的每日完成率、核对表和个别干预的完成率。尽管长期的坚持和可持续性带来了持续的挑战，但这种模式为未来的ICU睡眠促进倡议提供了基础。
Critically ill patients commonly experience poor sleep quality in the intensive care unit (ICU) because of various modifiable factors. To address this issue, an ICU-wide, multifaceted quality improvement (QI) project was undertaken to promote sleep in the Johns Hopkins Hospital Medical ICU (MICU). To supplement previously published results of this QI intervention, the present article describes the specific QI framework used to develop and implement this intervention, which consists of 4 steps: (a) summarizing the evidence to create a list of sleep-promoting interventions, (b) identifying and addressing local barriers to implementation, (c) selecting performance measures to assess intervention adherence and patient outcomes, and (d) ensuring that all patients receive the interventions through staff engagement and education and regular project evaluation. Measures of performance included daily completion rates of daytime and nighttime sleep improvement checklists and completion rates of individual interventions. Although long-term adherence and sustainability pose ongoing challenges, this model provides a foundation for future ICU sleep promotion initiatives.
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影响因子：
8.8
作者：
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通讯作者：
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DOI：
10.1164/ajrccm.163.2.9912128
发表时间：
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影响因子：
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DOI：
10.1097/ta.0b013e31814b2c4d
发表时间：
2008-07
期刊：
The Journal of trauma
影响因子：
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作者：
Pandharipande P;Cotton BA;Shintani A;Thompson J;Pun BT;Morris JA Jr;Dittus R;Ely EW
通讯作者：
Ely EW
影响因子：
38.9
作者：
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