Stanford Nursing

Current Science

Transform

Transform started at Stanford Hospital & Clinics with project funding provided by the Gordon and Betty Moore Foundation. Transform is an study on in-situ simulation-driven, patient safety program aimed at improving the early detection and treatment of hospital-acquired complications. The bundled intervention consists of teamwork training, rapid response team/Code Blue debriefings, monthly unit patient safety team meetings, quarterly patient safety conferences and a staff recognition program. The project results indicate significant decreases in the incidence of targeted complications.

Team Sepsis

Team Sepsis is an improvement collaborative at Stanford Hospital and Clinics for the early identification of patients with severe sepsis or septic shock. The project is an evidence based sepsis management protocol and the measurement of the sepsis resuscitation bundle outcome. Outcome measures indicate improved SHC ranking in sepsis outcomes since the start of the collaborative. SHC nursing participates in all aspects of the collaborative including contributing in patient assessment, nurse driven lactate protocol, resuscitation bundle delivery and patient and family education.

Fall Risk

Stanford Hospital and Clinics nursing department is engaged in measuring the sensitivity and specificity of the inpatient fall risk assessment tool. There are different fall risk assessment tools available in the literature, however no single tool has been shown to be generalizable to all types of inpatients. The SHC fall risk assessment tool has six risk factors categorized into extrinsic factors and intrinsic factors. The nursing department is engaged in determining the predictive value of the SHC Fall Risk Assessment Tool.

Peri-Operative

Peri-operative nursing research council studied surgical hand scrub preparation in the main operating room and the ambulatory surgery area. Numerous studies have compared the effectiveness of surgical hand scrub preparations with the outcome effectiveness evidence mixed. The study surveyed the staff demographics, awareness, uses, preferences and opinions regarding surgical hand scrub preparations. Chlorhexidine gluconate was the product most associated with the first scrub of the day.

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