Program Evaluation of an Early Nurse Intervention Team.

IF 2 Q2 NURSING AACN Advanced Critical Care Pub Date : 2022-03-15 DOI:10.4037/aacnacc2022521
Sarah Heitman, Deborah H. Allen, Jennifer Massengill, V. Orto, Julie A. Thompson, Staci S. Reynolds
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Abstract

BACKGROUND Many hospitals have implemented early rapid response teams to improve detection of patients at risk for decline. However, formal evaluation of these programs is rare. OBJECTIVE To evaluate the Early Nurse Intervention Team program at a large community hospital in the southeastern United States. METHODS A retrospective evaluation was performed of unplanned intensive care unit transfers, hospital length of stay, length of stay index, ventilator days, and mortality in 2 patient groups: those with and those without an Early Nurse Intervention Team nurse present. RESULTS There was a marked decline in unplanned intensive care unit transfers as the Early Nurse Intervention Team nurse staffing increased. There were no significant interaction or main effects for length of stay, length of stay index, ventilator days, or mortality between the 2 groups. CONCLUSIONS This study showed a positive impact of implementation of an Early Nurse Intervention Team program, with significant savings given the cost of unplanned intensive care unit transfers.
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早期护理干预团队的项目评估。
背景:许多医院已经建立了早期快速反应小组,以提高对有衰退风险的患者的发现。然而,对这些项目的正式评估是罕见的。目的评价美国东南部一家大型社区医院的早期护士干预小组项目。方法回顾性评价有和无早期护士干预小组护士在场两组患者的非计划重症监护病房转院、住院时间、住院时间指数、呼吸机天数和死亡率。结果随着早期护士干预小组护士人数的增加,计划外的重症监护病房转移明显减少。两组间在住院时间、住院时间指数、呼吸机天数或死亡率方面无显著交互作用或主效应。结论:本研究显示早期护士干预小组项目的实施具有积极的影响,考虑到计划外重症监护病房转移的成本,该项目显著节省了成本。
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来源期刊
CiteScore
2.10
自引率
4.50%
发文量
37
期刊介绍: AACN Advanced Critical Care is a quarterly, peer-reviewed publication of in-depth articles intended for experienced critical care and acute care clinicians at the bedside, advanced practice nurses, and clinical and academic educators. Each issue includes a topic-based symposium, feature articles, and columns of interest to critical care and progressive care clinicians. AACN Advanced Critical Care contains concisely written, practical information for immediate use and future reference. Continuing education units are available for selected articles in each issue. AACN Advanced Critical Care is an official publication of the American Association of Critical-Care Nurses.
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