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ECMO During a Pandemic: A COVID-19 Quality Improvement Process
- Source :
- AACN advanced critical care. 32(3)
- Publication Year :
- 2021
-
Abstract
- Extracorporeal membrane oxygenation is a modified form of cardiopulmonary bypass and a complex adult critical care therapy. No evidence appears to exist on sustaining relevant quality nursing standards during a pandemic. The aim for this quality improvement process was to address nursing provision in real time related to extracorporeal membrane oxygenation in a pandemic, providing fundamentals for future readiness. The Ishikawa fishbone diagram and a Plan-Do-Study-Act cycle were methods used. Process changes included implementation of a communication algorithm, an alternative nursing care model, increased nursing staffing and leadership visibility, use of perfusion services for nursing task support, and minimized nursing documentation. Changes applied were successful. We recommend increasing nursing staffing volume and support resources, applying a communication algorithm, and minimizing documentation requirements. These strategies are generalizable to other clinical nursing areas in similar pandemics or disasters.
- Subjects :
- Adult
Quality management
media_common.quotation_subject
medicine.medical_treatment
Staffing
Nursing
Critical Care Nursing
Nursing care
Documentation
Extracorporeal Membrane Oxygenation
Pandemic
Extracorporeal membrane oxygenation
medicine
Humans
Quality (business)
book
Pandemics
media_common
business.industry
COVID-19
General Medicine
medicine.disease
Quality Improvement
Nursing standard
Emergency Medicine
book.journal
Medical emergency
business
Subjects
Details
- ISSN :
- 15597776
- Volume :
- 32
- Issue :
- 3
- Database :
- OpenAIRE
- Journal :
- AACN advanced critical care
- Accession number :
- edsair.doi.dedup.....bd06e50e6847406877ae4c7a4d35999d