ECMO During a Pandemic: A COVID-19 Quality Improvement Process.
AACN Adv Crit Care
; 32(3): 247-263, 2021 Sep 15.
Article
in English
| MEDLINE | ID: covidwho-1399442
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.
Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Extracorporeal Membrane Oxygenation
/
Nursing
/
Quality Improvement
/
COVID-19
Type of study:
Prognostic study
/
Qualitative research
Limits:
Adult
/
Humans
Language:
English
Journal:
AACN Adv Crit Care
Journal subject:
Nursing
/
Critical Care
Year:
2021
Document Type:
Article
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