- Author
-
M. Borgert
- Title
- Improving patient safety for the critically ill
- Subtitle
- The challenges of implementation
- Supervisors
-
M.B. Vroom
- Co-supervisors
-
D.A. Dongelmans
A. Goossens - Award date
- 3 November 2017
- Number of pages
- 242
- ISBN
- 9789462996946
- Document type
- PhD thesis
- Faculty
- Faculty of Medicine (AMC-UvA)
- Abstract
-
This thesis focuses on the implementation of strategies for improving patient safety and quality of care for critically ill patients. Patient safety is an important issue in hospitals world-wide. One of the most challenging aspects of increasing patient safety in hospitals is the successful implementation of new evidence-based practices or guidelines. This is especially true if this requires changes to behaviour, clinical practices, the organization, or how physicians or nurses collaborate. Guidelines aim to reduce variability in clinical care and to increase adherence to evidence-based interventions. However, in many cases patients come to harm because guidelines are not followed consistently. They are often introduced rapidly, with no structured implementation plan available for changing behaviour. To improve patient safety and the quality of care, we need to understand those factors that facilitate or hamper successful implementation of evidence-based practices or guidelines. In our research we focussed on the implementation of a rapid response system on nursing wards and evidence-based care bundles in the intensive care unit. To encourage the implementation of such quality improvement interventions and to increase the chances of success, a tailored and often multifaceted implementation strategy is required to overcome existing barriers. Throughout the implementation process it is essential to continuously monitor and analyse data to track progress towards outcomes, and adjust the chosen strategy if necessary.
- Persistent Identifier
- https://hdl.handle.net/11245.1/516dcbc4-0bed-491b-a11c-a70ffbbb71c7
- Downloads
-
Thesis (complete)
Front matter
Chapter 1: General introduction and outline of the thesis
Chapter 2: Standardized measurement of the Modifed Early Warning Score results in enhanced implementation of a Rapid Response System: A quasi-experimental study
Chapter 3: Emergency care within hospitals: Can it be done more efficiently?
Chapter 4: A flowchart for building evidence-based care bundles in intensive care: Based on a systematic review
Chapter 5: Identifying potential risk factors in the delivery of enteral nutrition in critically ill patients: Arguments for introducing a nutritional care bundle
Chapter 6: What are effective strategies for the implementation of care bundles in ICUs: A systematic review
Chapter 7: Timely individual audit and feedback significantly improves transfusion bundle compliance: A comparative study
Chapter 8: Implementation of a transfusion bundle reduces inappropriate red blood cell transfusions in intensive care: A before and after study
Chapter 9: Summary and future perspectives
Chapter 10: Dutch summary/Nederlandse samenvatting
Appendices
Disclaimer/Complaints regulations
If you believe that digital publication of certain material infringes any of your rights or (privacy) interests, please let the Library know, stating your reasons. In case of a legitimate complaint, the Library will make the material inaccessible and/or remove it from the website. Please Ask the Library, or send a letter to: Library of the University of Amsterdam, Secretariat, Singel 425, 1012 WP Amsterdam, The Netherlands. You will be contacted as soon as possible.