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Certain Steps Key in Turning Research Into Best Practices

Friday June 10, 2011
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Elizabeth Bridges, RN, PhD, CCNS, FCCM, FAAN, associate professor at the University of Washington School of Nursing and clinical nurse researcher at the University of Washington Medical Center, recommends the following steps in using research to promote best practices: (Read the lead story on her presentation at http://t.co/JyvdE0i.)

• Know the literature

• Start the conversation

• Be a critical thinker: How am I using these data?

• Be a critical consumer: Do new parameters and new technology answer the question, “Are we making a difference?”

Suggested Journal Articles for Review

• “Does Central Venous Pressure Predict Fluid Responsiveness? A Systematic Review of the Literature and the Tale of Seven Mares” by P.E. Marik, et al — Chest, 2008

• “Fluid Resuscitation in Septic Shock: A Positive Fluid Balance and Elevated Central Venous Pressure are Associated with Increased Mortality” by J.H. Boyd, et al — Critical Care Medicine, 2011

• “Central Line Bundle Implementation in U.S. Intensive Care Units and Impact on Bloodstream Infections” by E.Y. Furuya, et al — PLoS ONE (plosone.org)

• “The Checklist — A Tool for Error Management and Performance Improvement” by B.M. Hales and P.J. Pronovost — Journal of Critical Care, 2006

• “Reduction in Central Line-Associated Bloodstream Infections by Implementation of a Postinsertion Care Bundle” by K. Guerin, et al — American Journal of Infection Control, 2010

• “Intrahospital Transport of Critically Ill Ventilated Patients: A Risk Factor for Ventilator Associated Pneumonia, a Matched Cohort Study” by N. Bercault, et al — Critical Care Medicine, 2005

• “Development of Medical Checklists for Improved Quality of Patient Care” by B. Hales, et al — International Journal of Quality Health Care, 2008

• “Clinical Review: Checklists, Translating Evidence into Practice” by B.D. Winters, et al — Critical Care, 2009

• “A Multifaceted Program to Prevent Ventilator-Associated Pneumonia: Impact on Compliance with Preventive Measures” by L. Bouadma, et al — Critical Care Medicine, 2010

• “Keeping Patients Safe During Transport” by D. Day — Critical Care Nurse, 2010

• “Trauma VAP SWAT Team: A Rapid Response to Infection Prevention” by L. Laux, et al — Critical Care Nursing Quality, 2010

• “Use of Procalcitonin to Reduce Patients’ Exposure to Antibiotics in Intensive Care Units (PRORATA trial): A Multicentre Randomised Controlled Trial” by L. Bouadma, et al — The Lancet, 2010

• “Procalcitonin for Reduced Antibiotic Exposure in the Critical Care Setting: A Systematic Review and an Economic Evaluation” by D.K. Heyland — Critical Care Medicine, 2011

• “Sepsis Biomarkers: A Review” by C. Pierrakos and J.L. Vincent — Critical Care, 2010

Source: Elizabeth Bridges, RN

Sallie Jimenez is a regional editor. Send comments to editorNTL@gannetthg.com or post a comment below.