{"title":"Strategies, Barriers, and Sustainability: Implementation of a Massive Transfusion Protocol Alert Team.","authors":"Caroline Glander, Jenn Leonard, Kristin Paluch","doi":"10.1097/NCQ.0000000000000979","DOIUrl":"https://doi.org/10.1097/NCQ.0000000000000979","url":null,"abstract":"","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149182592","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Modernizing Clinical Risk Screening Through Workflow-Based Digital Innovation.","authors":"Josette Askratni","doi":"10.1097/NCQ.0000000000000974","DOIUrl":"https://doi.org/10.1097/NCQ.0000000000000974","url":null,"abstract":"","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149182590","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Joyce Er, Emily Ang, Lai Theng Yue, Deirdre K Thornlow
{"title":"Enhancing Nurses' Capability to Promptly Escalate Care Using the Early Warning Score: A Quality Improvement Initiative.","authors":"Joyce Er, Emily Ang, Lai Theng Yue, Deirdre K Thornlow","doi":"10.1097/NCQ.0000000000000995","DOIUrl":"https://doi.org/10.1097/NCQ.0000000000000995","url":null,"abstract":"<p><strong>Background: </strong>Clinical deterioration in general ward patients is largely preventable with early recognition of abnormal vital signs and prompt escalation of care.</p><p><strong>Local problem: </strong>Limited knowledge of the early warning score (EWS) and an inability to recognize and respond to clinical deterioration among general ward nurses led to delays in escalation of care.</p><p><strong>Methods: </strong>This quality improvement project used iterative Plan-Do-Study-Act cycles. Outcomes included knowledge, EWS protocol compliance, and care escalation for patients with an EWS score ≥5 to prevent further deterioration.</p><p><strong>Interventions: </strong>A mandatory educational program was implemented with Plan-Do-Study-Act cycles to test and refine practice changes.</p><p><strong>Results: </strong>Nurses' knowledge improved significantly post-education (P < .001). EWS protocol compliance and care escalation increased.</p><p><strong>Conclusions: </strong>EWS education improved nurses' compliance with protocols and escalation of care, supporting early recognition of clinical deterioration and prevention of serious adverse events.</p>","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149136812","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Enhancing Heart Failure Care Through Community Paramedic Education.","authors":"Sara Severson","doi":"10.1097/NCQ.0000000000000969","DOIUrl":"10.1097/NCQ.0000000000000969","url":null,"abstract":"","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":"297"},"PeriodicalIF":1.7,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148308541","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Amit Bahl, Yuying Xing, Arshaan Bastani, Nicholas Mielke
{"title":"A Formalized Venous Assessment Process for Vascular Access Reduces Inequities Related to Race and Sex: A Propensity-Matched Analysis.","authors":"Amit Bahl, Yuying Xing, Arshaan Bastani, Nicholas Mielke","doi":"10.1097/NCQ.0000000000000954","DOIUrl":"10.1097/NCQ.0000000000000954","url":null,"abstract":"<p><strong>Background: </strong>Individuals identifying as Black and/or female experience disparities in peripheral intravenous catheter (PIVC) outcomes. Improving preinsertion venous assessment may help mitigate these inequities.</p><p><strong>Purpose: </strong>The purpose of this study was to evaluate the effect of a standardized venous assessment approach on PIVC functionality and equity.</p><p><strong>Methods: </strong>We performed a propensity-matched pre-post analysis of hospitalized adult emergency department patients before and after implementation of standardized venous assessment within a venous access training program (Operation STICK). The primary outcome was PIVC functionality.</p><p><strong>Results: </strong>A total of 1796 encounters were analyzed (898 per cohort). Mean age was 64.8 years; 59.4% were female and 40.7% were Black. Preintervention, traditionally placed PIVCs in White males demonstrated 19.5% longer functionality than those in Black females ( P = .03); this disparity was eliminated postintervention ( P = .85).</p><p><strong>Conclusions: </strong>Standardized venous assessment with objective escalation to ultrasound improves PIVC outcomes and eliminates observed racial- and sex-based disparities.</p>","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":"343-354"},"PeriodicalIF":1.7,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147633707","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Preventing Hospital-Acquired Pressure Injuries: A Comprehensive Review of Evidence-Based Quality Improvement Initiatives in the Hospital Setting.","authors":"Tamara L Oliver, Olivia Manning, Anne Schoening","doi":"10.1097/NCQ.0000000000000957","DOIUrl":"10.1097/NCQ.0000000000000957","url":null,"abstract":"<p><strong>Background: </strong>Hospital-acquired pressure injuries (HAPIs) remain a costly yet preventable threat to patient safety and quality of care. Evidence-based prevention strategies are essential to reduce incidence and support institutional goals.</p><p><strong>Objective: </strong>The purpose of this review was to synthesize evidence-based quality improvement interventions to prevent nondevice-related HAPIs in US hospital settings.</p><p><strong>Methods: </strong>Using the Whittemore and Knafl integrative review framework, a systematic search of 4 databases identified studies published between 2015 and 2023. Of 178 records screened, 10 studies met the inclusion criteria. Methodological quality was appraised using the Quality Improvement Minimum Quality Criteria Set.</p><p><strong>Results: </strong>Interventions were clustered into 4 categories: turn teams, documentation enhancements, protocol strategies, and interdisciplinary collaborations.</p><p><strong>Conclusion: </strong>HAPI prevention requires coordinated, system-level, interprofessional interventions with engaged leadership, and future research should emphasize sustainability, scalability, and fidelity using standardized quality improvement reporting frameworks.</p>","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":"314-320"},"PeriodicalIF":1.7,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147504313","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"An Implementation Science Perspective on the Gaps in a Quality Improvement Project for Workplace Violence Prevention in Health Care Settings.","authors":"Daren Zhao","doi":"10.1097/NCQ.0000000000000959","DOIUrl":"10.1097/NCQ.0000000000000959","url":null,"abstract":"","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":"298-299"},"PeriodicalIF":1.7,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147609276","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Hospital-Acquired Pressure Injury Prevention: A Quality Improvement Project Utilizing a Bundled Intervention Approach.","authors":"Izak A Godoy, Maria Wines","doi":"10.1097/NCQ.0000000000000965","DOIUrl":"10.1097/NCQ.0000000000000965","url":null,"abstract":"","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":"369"},"PeriodicalIF":1.7,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147729358","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"From Fill-in-the-Blanks to Moving: A Creative Approach to Engage Frontline Nurses and Certified Nursing Assistants on the Importance of Mobilizing Patients in the Hospital.","authors":"Eileen Dowdall","doi":"10.1097/NCQ.0000000000000955","DOIUrl":"10.1097/NCQ.0000000000000955","url":null,"abstract":"","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":"320"},"PeriodicalIF":1.7,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147504297","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}