PubMed Health⌕ Search
Home/Archive/PubMed

PubMed · 1995015

Implementation of structure and process standards.

G A Krum
View original source ↗Export metadata ↓

Abstract

A dilemma in critical care nursing practice is how to develop and implement a practical quality assurance program that incorporates high-quality standards of nursing care for critically ill patients and addresses those aspects of care considered important by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO). Standards for Nursing Care of the Critically Ill defines and describes structure and process standards and provides a comprehensive guide for the development of a program for the delivery of quality care to critically ill patients. The purpose of this chapter is to discuss practical application of the standards described by the American Association of Critical-Care Nurses (AACN) through the use of policies and procedures that support structure and process standards.

Explore related subjects

Critical CareHumansJoint Commission on Accreditation of Healthcare OrganizationsNursing CareOutcome and Process Assessment, Health CareProfessional PracticeUnited StatesJournal Article

Keep this discovery

Explore connections, maps & timelines

BibTeXRIS

G A Krum. 1991. Implementation of structure and process standards.. https://doi.org/10.4037/15597768-1991-1005

Cite the original work for its findings. Save a collection to share your selection of sources.

KEEP EXPLORING

Related citations

PubMed1992

[Characteristics of obese patients in intensive care].

BASIC REMARKS: The frequency of overweight, together with the associated increase in morbidity--in particular coronary heart disease--means that such patients often require intensive care. MAIN POINTS DISCUSSED: The particular features of intensive care of obese patients are the increased risk of aspiration pneumonia (in the presence of lowered pH and elevated gastric juice volume), respiratory insufficiency caused by a reduction in expiratory reserve volume, and a greater incidence of thrombosis and embolism. Ventricular hypertrophy and dilatation results in a reduced cardiac reserve. A clinically unrecognized insulin resistance may become manifest during intensive care. Digoxin, theophylline and aminoglycosides, commonly with a low therapeutic spectrum, when administered on the basis of weight, may lead to dangerously high serum concentrations in the overweight. CONCLUSIONS: At a weight of more than about 100 kg, it must generally be expected that the compensatory mechanisms of the body are exhausted and that there will be an increased susceptibility to additional disorders of homeostasis.

Critical Care↗