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Bundling Your Way to Quality Care

Bundling Your Way to Quality Care Background A bundle is defined by IHI as a small set of evidence-based interventions for a defined patient segment/population and care setting that, when implemented together, will result in significantly better outcomes than when implemented individually. It is important to understand that a bundle is not simply a checklist to complete, it is a set of researched interventions that have been shown to work better when completed together. These interventions are usually already well known and utilized in practice by nurses or providers. A bundle places the priority on the entire set of interventions being completed for the at-risk patient. Objective The focus of this paper is to explain the principles of a bundle, the evidence supporting their utilization in practice, challenges associated with care bundles, how to overcome these challenges, and recommendations for future success. Conclusions A literature search on the implementation of bundles demonstrates several challenges to their use. Sustaining a comprehensive quality improvement approach within an institution can be challenging but with the guidelines outlined by IHI for requirements of a bundle and the implementation recommendations, great success can be obtained. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal of Doctoral Nursing Practice Springer Publishing

Bundling Your Way to Quality Care

Journal of Doctoral Nursing Practice , Volume 15 (1): 7 – Feb 28, 2022

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Publisher
Springer Publishing
Copyright
© 2022 Springer Publishing Company
ISSN
2380-9418
eISSN
2380-9426
DOI
10.1891/jdnp-2021-0039
Publisher site
See Article on Publisher Site

Abstract

Background A bundle is defined by IHI as a small set of evidence-based interventions for a defined patient segment/population and care setting that, when implemented together, will result in significantly better outcomes than when implemented individually. It is important to understand that a bundle is not simply a checklist to complete, it is a set of researched interventions that have been shown to work better when completed together. These interventions are usually already well known and utilized in practice by nurses or providers. A bundle places the priority on the entire set of interventions being completed for the at-risk patient. Objective The focus of this paper is to explain the principles of a bundle, the evidence supporting their utilization in practice, challenges associated with care bundles, how to overcome these challenges, and recommendations for future success. Conclusions A literature search on the implementation of bundles demonstrates several challenges to their use. Sustaining a comprehensive quality improvement approach within an institution can be challenging but with the guidelines outlined by IHI for requirements of a bundle and the implementation recommendations, great success can be obtained.

Journal

Journal of Doctoral Nursing PracticeSpringer Publishing

Published: Feb 28, 2022

References