Quality improvement and rapid PDSA cycles to maintain routine surveillance of pulmonary pathogens during the COVID-19 pandemic in a pediatric cystic fibrosis clinic

Jennifer L. Hamilton; Anne E. Snuggerud; Suzanne M. Meihls; Heidi Toledo; Jennifer Stewart

doi:10.1016/j.pedn.2021.11.006

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Quality improvement and rapid PDSA cycles to maintain routine surveillance of pulmonary pathogens during the COVID-19 pandemic in a pediatric cystic fibrosis clinic

Journal article

Peer reviewed

Quality improvement and rapid PDSA cycles to maintain routine surveillance of pulmonary pathogens during the COVID-19 pandemic in a pediatric cystic fibrosis clinic

Jennifer L. Hamilton, Anne E. Snuggerud, Suzanne M. Meihls, Heidi Toledo and Jennifer Stewart

Journal of pediatric nursing, Vol.63, pp.131-135

03/01/2022

DOI: 10.1016/j.pedn.2021.11.006

PMID: 34953664

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Abstract

The COVID-19 pandemic necessitated immediate transition from in person to telehealth encounters; novel nursing practices were needed to ensure that children with cystic fibrosis (CF) receive care that approximates evidence-based guidelines. The aim was to ensure that as many children as possible received routine surveillance of pulmonary pathogens by a CF culture sputum culture during a pandemic. Multiple Plan-Do-Study-Act (PDSA) cycles were utilized to implement practice change over four months. Cultures were obtained via curbside appointment with a registered nurse (RN) or at the patients' home with mailed equipment. 133 cultures obtained: 50.37% (67) by RN collection curbside and 49.62% (66) by self/caregiver at home. 120 culture swabs or sterile cups were mailed; 55% (66) were returned. Cost of mailing equipment was $760.16. Nursing utilization of PDSA cycles developed novel processes that ensured guideline-based care during the initial months of the pandemic. •A Cystic Fibrosis center was able to minimized the risks of exposure to SARS-CoV-2 virus while continuing to deliver care to a vulnerable pediatric population.•Quality improvement principles and the PDSA framework aided in adaptation of clinic practices when external forces demand change.•Return rates of mailed cultures were similar in both groups, those with an affiliated facility in proximity and those without.•Costs were reduced through a PDSA cycle examining shipping providers.

COVID-19

Cystic fibrosis

Nursing

Pandemic

PDSA cycles

Quality improvement

Details

Title: Subtitle: Quality improvement and rapid PDSA cycles to maintain routine surveillance of pulmonary pathogens during the COVID-19 pandemic in a pediatric cystic fibrosis clinic
Creators: Jennifer L. Hamilton - University of Utah
Anne E. Snuggerud - University of Utah
Suzanne M. Meihls - University of Utah
Heidi Toledo - University of Utah
Jennifer Stewart - University of Utah
Resource Type: Journal article
Publication Details: Journal of pediatric nursing, Vol.63, pp.131-135
DOI: 10.1016/j.pedn.2021.11.006
PMID: 34953664
ISSN: 0882-5963
eISSN: 1532-8449
Publisher: Elsevier Inc
Number of pages: 5
Language: English
Date published: 03/01/2022
Academic Unit: Nursing
Record Identifier: 9985157545202771

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