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10.1097/JHQ.0000000000000305

http://scihub22266oqcxt.onion/10.1097/JHQ.0000000000000305
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34180868!8260339!34180868
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suck abstract from ncbi


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pmid34180868      J+Healthc+Qual 2021 ; 43 (4): 195-203
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  • Implementation and Assessment of a Proning Protocol for Nonintubated Patients With COVID-19 #MMPMID34180868
  • D'Souza FR; Murray JP; Tummala S; Puello F; Pavkovich DS; Ash D; Kelly SBH; Tyker A; Anderson D; Francisco MA; Pierce NL; Cerasale MT
  • J Healthc Qual 2021[Jul]; 43 (4): 195-203 PMID34180868show ga
  • INTRODUCTION: The COVID-19 pandemic has caused over 1,250,000 deaths worldwide. With limited therapeutic options, proning nonintubated patients emerged as a safe and affordable intervention to manage hypoxemia. METHODS: A proning protocol to identify and prone eligible patients was implemented. Patients were encouraged to self-prone for 2-3 hours, 3 times daily. Investigators created educational materials for nurses and patients and developed a COVID-19-specific proning order within the electronic health record (EHR). Investigators completed an 800-person retrospective chart review to study the implementation of this protocol. RESULTS: From March 22, 2020, to June 5, 2020, 586 patients were admitted to the COVID-19 floor. Of these patients, 42.8% were eligible for proning. Common contraindications were lack of hypoxia, altered mental status, and fall risk. The proning protocol led to a significant improvement in provider awareness of patients appropriate for proning, increasing from 12% to 83%, as measured by placement of a proning order into the EHR. There was a significant improvement in all appropriate patients documented as proned, increasing from 18% to 45% of eligible patients. CONCLUSIONS: The creation of an effective hospital-wide proning protocol to address the exigencies of the COVID-19 pandemic is possible and may be accomplished in a short period of time.
  • |*Prone Position[MESH]
  • |COVID-19[MESH]
  • |Humans[MESH]
  • |Hypoxia/*therapy[MESH]
  • |Male[MESH]
  • |Pandemics[MESH]
  • |Patient Positioning/*methods[MESH]
  • |Retrospective Studies[MESH]


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