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Hamilton JL, Snuggerud AE, Meihls SM, et al. Quality improvement and rapid PDSA cycles to maintain routine surveillance of pulmonary pathogens during the COVID-19 pandemic in a pediatric cystic fibrosis clinic. J Pediatr Nurs. 2021;doi: 10.1016/j.pedn.2021.11.006.
Hamilton, J. L., Snuggerud, A. E., Meihls, S. M., Toledo, H., & Stewart, J. (2021). 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 of pediatric nursing, . https://doi.org/10.1016/j.pedn.2021.11.006
Hamilton, Jennifer L, et al. "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 of pediatric nursing vol. (2021). doi: https://doi.org/10.1016/j.pedn.2021.11.006
Hamilton JL, Snuggerud AE, Meihls SM, Toledo H, Stewart J. Quality improvement and rapid PDSA cycles to maintain routine surveillance of pulmonary pathogens during the COVID-19 pandemic in a pediatric cystic fibrosis clinic. J Pediatr Nurs. 2021 Nov 16; doi: 10.1016/j.pedn.2021.11.006. Epub 2021 Nov 16. PMID: 34953664; PMCID: PMC8607846.
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J Pediatr Nurs. 2021 Nov 16; doi: 10.1016/j.pedn.2021.11.006. Epub 2021 Nov 16.

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 of pediatric nursing

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

Affiliations

  1. School of Medicine, Department of Pediatrics, University of Utah Health Sciences, 81 Mario Capecchi Dr, Salt Lake City, UT 84112, United States of America; College of Nursing, University of Utah Health Sciences, 10 2000 E, Salt Lake City, UT 84112, United States of America. Electronic address: [email protected].
  2. School of Medicine, Department of Pediatrics, University of Utah Health Sciences, 81 Mario Capecchi Dr, Salt Lake City, UT 84112, United States of America. Electronic address: [email protected].
  3. School of Medicine, Department of Pediatrics, University of Utah Health Sciences, 81 Mario Capecchi Dr, Salt Lake City, UT 84112, United States of America. Electronic address: [email protected].
  4. School of Medicine, Department of Pediatrics, University of Utah Health Sciences, 81 Mario Capecchi Dr, Salt Lake City, UT 84112, United States of America. Electronic address: [email protected].
  5. School of Medicine, Department of Pediatrics, University of Utah Health Sciences, 81 Mario Capecchi Dr, Salt Lake City, UT 84112, United States of America. Electronic address: [email protected].

PMID: 34953664 PMCID: PMC8607846 DOI: 10.1016/j.pedn.2021.11.006

Abstract

BACKGROUND: 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.

LOCAL PROBLEM: 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.

METHODS: Multiple Plan-Do-Study-Act (PDSA) cycles were utilized to implement practice change over four months.

INTERVENTIONS: Cultures were obtained via curbside appointment with a registered nurse (RN) or at the patients' home with mailed equipment.

RESULTS: 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.

CONCLUSION: Nursing utilization of PDSA cycles developed novel processes that ensured guideline-based care during the initial months of the pandemic.

Copyright © 2021 Elsevier Inc. All rights reserved.

Keywords: COVID-19; Cystic fibrosis; Nursing; PDSA cycles; Pandemic; Quality improvement

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