NEW Research Corner: Incidence of quality bundles across critical care and telemetry patients
Catherine E. Whelchel MHSA, RN, CNAA-BC
Mary F. Pynn MS, RN, NEA-BC
Susan E. Lizakowski BSN, RN

February 2011 
Volume 41  Number 2
Pages 19 - 21
  PDF Version Available!

PROVIDING HIGH-QUALITY care for inpatients is becoming increasingly complex. Organizations such as the National Quality Forum, Centers for Medicare and Medicaid Services, the Institute for Healthcare Improvement (IHI), and the Agency for Healthcare Research and Quality (AHRQ) all publish evidence-based practice protocols designed to drive improvements in patient-care outcomes.The transition to results-based care and greater public awareness of outcomes has increased hospitals' focus on quality bundles associated with evidence-based protocols. According to the IHI, "a bundle is a group of interventions related to a disease process that, when executed together, result in better outcomes than when implemented individually."1Quality bundles give nurses more to do in a specific time frame without providing extra support or opportunities to assess compliance. Nurses experience complexity compression when they're expected to take on extra duties while conducting many tasks in a shorter period.2 At the same time, research and evidence grows continually, requiring the implementation of additional best practices at the bedside.Although ultimately we intend to reduce complexity and improve bundle compliance, this article focuses on understanding the volume of bundles that patients are placed on today. We include suggestions to help deal with the problems of using multiple bundles.In 2009, three of HealthEast Care System's four hospitals in the St. Paul-Minneapolis, Minn., area undertook a study to better understand the use of quality bundles on its critical care units. The system comprises 500 staffed beds and four ICUs. The study involved medical-surgical, neurology, and cardiovascular ICUs, with telemetry beds intermingled on some units.To reduce the cognitive burden on RNs and other healthcare professionals, the HealthEast hospitals are piloting an electronic concurrent monitor of the status of ventilator-associated pneumonia (VAP) prevention bundle metrics. The monitor provides

Purchase Now !

To purchase this item, follow the instructions below. If you’re not already logged in, be sure to enter your login information below to ensure that your item is saved to your File Drawer after you purchase it.

Not a member? Join now for Free!

1) If you're not already logged in, enter your information below to save this item in your File Drawer for future viewing.

User name:


Forgot your user name or password?
2)  If you have a coupon or promotional code, enter it
here.(If not, just click Continue.

Digital Coupon: (optional)

3)  Click Continue to go to the next screen, where
you'll enter your payment details.

jQuery UI Accordion - Default functionality

For life-long learning and continuing professional development, come to Lippincott's NursingCenter.

Nursing Jobs Plus
Featured Jobs
Recommended CE Articles Recommended Nursing Articles Evidence Based Practice Skin Care Network NursingCenter Quick Links What’s Trending Events