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Health Professionals Who Have a Role in Quality Improvement in Nursing, Nursing Quality Improvement Project Ideas and Guide on Improved Nursing Care, Nursing and Other Organizations That Work to Promote Healthcare Quality Improvement, Nursing Leaders’ Important Historical Role in Advancing CQI in Healthcare, Nurses Continue to Play a Vital Role in Quality Improvement in Healthcare, Examples of Quality Improvement Projects in Nursing. Implementation of QI has been an ongoing process in healthcare organizations. The following are QI projects completed at our ECLEPs Partner Sites. Nurses also understand most parts of a healthcare organization’s systems and processes. Use this template to understand questions your organization must ask to assess whether it can execute good quality improvement. This template is free for download, and you can customize it to fit your needs. You can use a process checklist to help manage a quality improvement process. Nursing is a unique, identifiable and autonomous profession with the right, duty, responsibility, and expertise to determine the scope and standards of nursing practice. VAP is the leading cause of death amongst hospital-acquired infections. An official website of the Department of Health and Human Services, Latest available findings on quality of and access to health care. What Is a Quality Improvement Management Nurse and What Do They Do? By Debra Wood, RN, Contributor. Posted Sep 10, 2007. ibmaryann. Nursing Quality Improvement Ideas. Here are some of the leading nursing organizations championing quality improvement: Other leading organizations for promoting quality improvement in healthcare include the following: Dating back to 1896, the American Nurses Association has worked for quality improvement in nursing for much of its existence. Fortunately, falls are a public health problem that is largely preventable. T … Advancing Excellence https://www.nhqualitycampaign.or All Rights Reserved Smartsheet Inc. What Is Continuous Quality Improvement in Nursing? Someone who could show an ability to make better nursing quality papers in what they do would be extremely employable in the future. CDC Publication, April 2011. Our world-class consulting team is here to help your organization realize the lasting advantage of Smartsheet. Using human-centered design principles, a bundle of 6 in-dividual and team nursing practices was developed. The Agency for Healthcare Research and Quality (AHRQ) is part of the U.S. Department of Health and Human Services. Telephone: (301) 427-1364. http://www.ahrq.gov/professionals/systems/long-term-care/resources/pressure-ulcers/pressureulcertoolkit/index.htmliiiPatient Safety and Quality: An Evidence-Based Handbook for Nurses. You can use the information in this guide to help improve quality of care across settings and at multiple levels. Learn how the flexible, extensible Smartsheet platform can help your organization achieve more. Centers for Disease Control and Prevention, Healthcare Infection Control Practices Advisory Committee (HICPAC). Nursing staff can be instrumental in preventing urinary catheter-related infections.v, CDC overview video on catheter associated UTIs, Prevention and management guidelines for catheter associated UTIs. Nursing Times [online]; 117: 2, 34-36. During your primary care posts in ST1 /2 you are required to complete a quality improvement project with the aim of improving patient care. You can learn more about some of these tools in “A Business Guide to Effective Quality Improvement in Healthcare.”. These projects were led by ECLEPs students and site staff. For example, a process related to comfort options may include a nurse, a midwife, an obstetrician, an anesthesiologist, and a … Internet Citation: QI Guide on Improved Nursing Care. Agency for Healthcare Research and Quality, Rockville, MD. Agency for Healthcare Research and Quality, Rockville, MD. Improve health care outcomes. Safe health care depends on highly trained individuals with disparate roles and responsibilities acting together in the best interests of the patient. Use this template, designed specifically for implementing and executing an effective quality improvement process. As a result of the project, they removed materials that nurses never used; organized and repositioned materials they used most often within the closet; and developed a plan for how the most-used items would be continually replenished. Get End Users Involved In the Process. “CQI nurses are the bridge to successful, sustainable quality improvement programs,” she adds. Mary Jean Schumann is an Associate Professor at the George Washington University School of Nursing and the Chair of the Nursing Alliance for Quality Care. http://www.txhca.org/BestPractices/InfectionControl/nursing.pdfx Interdisciplinary Nursing Quality Research Initiative. They are around patients all the time and see the problems and inefficiencies firsthand. start quality improvement projects. This article includes the most useful tips and advice from top experts on quality improvement in nursing, along with details on the important roles that nurses have played — and continue to play — to improve healthcare quality. Healthcare systems working to improve clinical quality face the difficult challenge of aligning changes across the organization. Learn how to decrease nurse turnover rates by creating a safe and high quality work environmentxiv, Tools to calculate total nursing turnover expenses. Running a nursing quality improvement project is all about giving you the skills and experience required to constantly increase the standard of what you do. 08-0043, April 2008. This template is free for download, and you can customize it to fit your needs. Best Practices, October 2000. The Circle of Success provides a step-by-step framework, starting with selecting goals, that will guide staff through any quality improvement project. Agency for Healthcare Research and Quality, Rockville, MD. Texas Health Care Association. These initiatives include a new resident daily progress note format, a performance improvement dashboard, and use of a bedside whiteboard to document daily goals. The goal is to deliver safe, high-quality health care to patients in all clinical settings. Each year, more than 2.5 million people in the United States develop pressure ulcers.ii Prevention requires an organizational culture and operational practices that promote teamwork and communication, as well as individual expertise. Learn how working conditions contribute to work stress and burnout among nurses, Presentation on nurse fatigue and patient safety. Here are some important titles and groups: Heather Larivee, a continuous quality improvement expert and the CEO of Sparkflo, LLC, a business consultancy, says she has worked with healthcare organizations that organize small groups of experienced nurses into such teams. Every QI initiative requires having key stakeholders involved in the process. Beginning two decades ago, many nursing educators began advocating for nursing schools to do more to teach quality improvement theory to nurses. These nurses generally do not deliver direct clinical care, but focus exclusively on observing and determining how to improve healthcare and nursing care within an organization. By improving the way nurse… Beth Israel Medical Center; After a series of news stories revealed medical errors and poor quality healthcare at Beth Israel, the hospital embarked on a quality improvement program to address the issues. What you’ll do in the community improvement project. Nurses' Role in Preventing Medication Errors. Residency is an ideal time to learn quality improvement skills and apply them to situations in the “real world.” Residency establishes the learning processes that physicians will continue to apply over the course of their careers. Each year, about 7,000 people die because of medication errors in hospitals.x Nurses play a critical role in preventing medication errors and facilitating better medication management. Their goal, she says, was to answer the following question: “How do you measure the impact of nursing?”. CDC fact sheet on falls among older adults, Fall and Injury Prevention from the Evidence-Based Handbook for Nursesiii, Falls toolkit from the National Center for Patient Safety, The Falls Management Program - tool to improve fall care processes and outcomes. Providing high-quality care to patients is a priority for professional nursing. Project Title: Using a Professional Language Interpreter During Discharge to Promote Self-Care Management for Spanish-Speaking Patients with Congestive Heart Failure: A Quality Improvement Project. 08-0043, April 2008. Get up and running fast with streamlined implementation and solution building to address your immediate business needs. A possible goal of the study would be … Nurse turnover: a literature review. Quality care is the degree to which health services for individuals and populations increase the likelihood of desired … In fact, many believe they might have the most important position — because they are in the best position to see how providers deliver and can improve healthcare services. An innovative idea may serve to help one patient overcome a disturbing symptom, while innovation applied in clinical practice could lead to quality improvement initiatives that end up benefiting many patients (American Nurses … Rockville, MD 20857 08-0043, April 2008. Free your team from content sprawl with Brandfolder, an intuitive digital asset management platform. Since then, nursing schools have been increasingly teaching quality improvement theory and methods in their education programs. Jan Wilson, Director of Learning Design and Outcomes for … The increased demands on nurses have set the stage for increased nurse fatigue and stress, compromising patient safety and negatively impacting the health and well-being of nurses. Agency for Healthcare Research and Quality, Rockville, MD.iiPreventing Pressure Ulcers in Hospitals: A Toolkit for Improving Quality of Care. Combines expertise in healthcare, quality improvement, and management to lead systemic improvements in policies and processes, Continually assesses performance data and trends in healthcare metrics, Continually works with other organization managers to ensure that problems in healthcare processes are identified and fixed, Ensures the organization complies with requirements from state and federal agencies and the Joint Commission, which accredits hospitals, Helps design and execute training programs, Provides feedback and recommendations for improvement to an organization’s top leaders, Solicits and collects feedback from patients, employees, and members of the public. They both addressed hospital or nursing storage areas. Ineffective handoffs can lead to adverse events and patient safety risks. Healthcare-associated infections (HAIs) lead to 99,000 deaths annually.vi There are more than 75,000 bloodstream infections a year among hospital patients, and as many as 25% of infected patients die .vii Nurses are on the frontlines of preventing these infections, and by implementing certain evidence-based recommendations these infections can be dramatically reduced. http://www.cdc.gov/hicpac/pdf/guidelines/bsi-guidelines-2011.pdf.vPrevention and Management of Catheter-Associated UTIs. AHRQ toolkit to prevent pressure ulcers in hospitals, Preventing and Managing Pressure Ulcers from the Evidence-Based Handbook for Nursesiii, Pressure Ulcer Training from the National Database of Nursing Quality Indicators. improvement? When teams have clarity into the work getting done, there’s no telling how much more they can accomplish in the same amount of time. Research has shown that heavy nursing workloads adversely affect patient safety. http://www.ahrq.gov/professionals/clinicians-providers/resources/nursing/resources/nurseshdbk/index.htmlivGuidelines for the Prevention of Intravascular Catheter-Related Infections, 2011. Strategies for Quality Improvement in Critical Care Nursing, Quality Improvement Tools in Healthcare and Nursing, Implement Quality Improvement in Nursing with Smartsheet for Healthcare, roles for nurses in healthcare quality improvement, guide on how to improve nursing care in specific ways, the roles of nursing organizations in quality improvement, guides, factsheets, and other information, The National Database of Nursing Quality Indicators, Research on Patient Classification Systems, Research on the Relationship Between Nurse Staffing and Patient Outcomes, Quality and Safety Education for Nurses Institute. http://www.inqri.org/uploads/ResearchSynthesisMedicationErrors.pdfxiPatient Safety and Quality: An Evidence-Based Handbook for Nurses. The guides and factsheets offer project ideas for quality improvement in nursing, including the following: Quality improvement in nursing is similar to continuous quality improvement in nursing and to continuous quality improvement in healthcare overall. https://expertwritinghelp.com/blog/2019/05/08/nursing-capstone-project-ideas But nurses were told they didn’t have the data to back up their concerns, Schumann says. Patient-centered care and QI teams are central to improvements in these areas. When I came from the healthcare environment and went to academics full-time, they weren’t really talking about improvement as much as they were talking about the basics (or nursing). Fortunately, falls are a public health problem that is largely preventable. Evidence-based strategies for nurses on controlling the spread of HAIsviii, CDC recommendations to prevent infections, CDC guide to infection prevention for outpatient settings, Various CDC toolkits for preventing healthcare associated infections. Now, they’re teaching the principles” of quality improvement. Learn strategies to prevent VAP in hospitals, IHI Ventilator Bundle - series of interventions to prevent VAP, In the United States, about 15 million central vascular catheter (CVC) days occur in intensive care units (ICUs) each year.iv, CDC guidelines for the prevention of intravascular catheter related infections, IHI Central Line Bundle - a series of interventions to prevent infections related to CVCs, Urinary tract infections (UTIs) account for about 40% of all hospital acquired infections. Infectious Disease Special Edition, September 2010. http://www.idse.net/download/UTI_IDSE10_WM.pdfviAHRQ's Efforts to Prevent and Reduce Healthcare-Associated Infections. assessments. Better Placement of a Supply Area: Is your organization ready for effective quality improvement? One of those teams was from the Regional Hospital for Respiratory and Complex Care (RHRCC) in Burien, WA, the only long-term acute care hospital to participate in CSI Academy to date. Agency for Healthcare Research and Quality, Rockville, MD. “Thus, to advance as a profession in the years ahead, nurses will need good data on measures of quality that are linked to nursing, and they will need to know how to use this data to continuously improve the quality of nursing care,” she noted. In this quality improvement project, our health system developed a comprehensive, patient-centered approach to improving inpatient pain management and assessed its impact on patient satisfaction across 21 medical centers. As a practicing nurse in the 1980s, Schumann remembers how nurses could see healthcare practices and procedures that were harmful — even contributing to patient deaths. http://www.ahrq.gov/professionals/clinicians-providers/resources/nursing/resources/nurseshdbk/index.htmlixInfection Control Checklist - Nursing Department. Free your team from content sprawl with Brandfolder, an intuitive digital asset management platform. Agency for Healthcare Research and Quality, Rockville, MD. “What it does is outline all the information new registered nurses should know,” says Katreena Collette Merrill, Associate Dean of Undergraduate Studies and an Associate Professor in Nursing at Brigham Young University. Quality of life for a patient with congestive heart failure. But health systems can learn from successful clinical quality improvement projects and implementing key principles of their success. The Smartsheet platform makes it easy to plan, capture, manage, and report on work from anywhere, helping your team be more effective and get more done. Empower your people to go above and beyond with a flexible platform designed to match the needs of your team — and adapt as those needs change. http://www.ahrq.gov/professionals/clinicians-providers/resources/nursing/resources/nurseshdbk/index.htmlxv Ibid. AHRQ Publication No. Examples include analyzing treatment protocols for patients with chronic heart failure or sepsis or determining how to improve protocols in order to avoid wrong-site surgeries — operations performed on the wrong arm or hip, for example. More than 80% of those infections are associated with catheters. In more recent decades, it has focused on quality improvement through the following methods: Here are more resources that are instrumental to research efforts in nurse quality and quality improvement in nursing: Quality improvement theory in nursing is the same as in healthcare generally. 09-P013, September 2009. Soon to be by Smartsheet. The transfer of essential information and the responsibility for care of the patient from one health care provider to another is an integral component of communication in health care. Projects have included improving operating room turnover times, reducing operating room case cart … Resources and links provide information on these topics: Falls can lead to moderate to severe injuries, such as hip fractures and head trauma, and can even increase the risk of early death. AHRQ Publication No. Learn more about the benefits of good quality improvement programs, along with the main questions to answer as part of your quality improvement work, in “A Business Guide to Effective Quality Improvement in Healthcare.”. We are a huge organisation and this project is a unique platform for everyone to build the skills and confidence to turn ideas into improvement. As part of the project, they timed how long it took caregivers to do certain duties. An increasingly common job title is quality improvement management nurse. http://www.ahrq.gov/research/findings/factsheets/errors-safety/haiflyer/index.htmlvii CDC. Audit is a type of QIP as both look at the quality of care provided with the aim of improving it and both require measurements to demonstrate change. AHRQ Projects funded by the Patient-Centered Outcomes Research Trust Fund. Quality improvement for whom? Nurses remain vital to continuous quality improvement in healthcare. To sign up for updates or to access your subscriberpreferences, please enter your email address below. ASCO has compiled these resources as you consider your own practice improvement activities. Sometimes, these healthcare professionals come together as organized groups to shape the role of nursing in the healthcare industry. Fact Sheet. Try Smartsheet for free, today. Purpose: The overarching goal of this DNP project was to improve lifestyle management of Spanish-speaking … Prior to the initiation of these projects, participants completed an 8-hour QI training workshop led by the LiveWell Team at CareOregon and Malinda Burt MNE RN, a student in OHSU's MNE Graduate Program. Improving Care of Mothers and Babies: A guide for improvement teams . RNs Putting Innovative Ideas to Work. They can also tackle very simple processes. 08-0043, April 2008. Recommendations include the following: Quality improvement tools in nursing are the same as quality improvement tools in healthcare in general. Analyze your instrument replacement trends. http://www.ahrq.gov/professionals/clinicians-providers/resources/nursing/resources/nurseshdbk/index.htmlxii Ibid.xiii Hayes LJ, O'Brien-Pallas L, Duffield C, et al. ©2021. General information from the FDA regarding medication errors, Study showing the relationship between task interruptions and medication errors by nurses, Learn about the nurse's role in preventing medication errors, Learn about medication safety in relation to nursingxi. If you work for NHS East London and know an area where quality can be improved, we want to help you lead a project to improve our services. The largest drivers of healthcare costs are physicians, but these professionals are among the least comfortable discussing healthcare value. Jump-start new projects and processes with our pre-built sets of templates, add-ons, and services. “It really set the standards for nursing education. This project helped increase the accuracy of Stanford’s mammograms by 36 percent, meaning that breast … “That’s how we got to the nursing outcome indicators,” Schumann says. Experts interviewed for this article cited two nursing-related quality improvement projects they were involved with that were simple, but very beneficial. CDC fact sheet on falls among older adults CDC fact sheet on falls in nursing homes Fall and Injury Prev… Improving healthcare-related communication about individual patients during shift changes of nurses or other healthcare professionals, Improving patient safety by improving the nursing workload, Preventing falls and injuries in patients within healthcare facilities, Preventing pneumonia that can come from airway ventilators used on patients — called ventilator-associated pneumonia, Preventing pressure ulcers (bedsores) in patients within healthcare facilities, National Coordinating Council for Medication Error Reporting and Prevention, Physician Consortium for Performance Improvement, How healthcare organizations classify patients and their conditions in terms of understanding the staffing needed to improve their outcomes, The impact of the healthcare industry on the U.S. economy, The relationship between nurse staffing levels and patient outcomes. The process, of course, is similar to quality improvement in other nursing areas, as well as healthcare quality improvement in general. Team based quality improvement brings about change and improvement that is understood by all involved, which will make successful implementation easier. iPatient Safety and Quality: An Evidence-Based Handbook for Nurses. The Health Foundation has selected 21 projects to be part of the second round of its £1.5m innovation programme, Innovating for Improvement. Transitioning from student to RN: Bridging the gap with simulation. Falls can lead to moderate to severe injuries, such as hip fractures and head trauma, and can even increase the risk of early death. Included on this page, you'll find details on roles for nurses in healthcare quality improvement, a guide on how to improve nursing care in specific ways, and the roles of nursing organizations in quality improvement. MMWR 2011; 60(08);243-248.viiiPatient Safety and Quality: An Evidence-Based Handbook for Nurses. 11-0053-EF, April 2011. “In the future, the clinical and economic interests of nurses will depend heavily on their ability to improve quality,” Linda Norman, a Senior Associate Dean for Academics at Vanderbilt University’s School of Nursing, wrote in the journal Nursing Outlook in 2001. ANA and others started thinking about how to collect that data, focus on improvement, and understand the benefits of good nursing. 1) Educating the staff on aspects on non-pharmacological approach to a patient in a NH with behavioral issues. One umbrella effort has been the Quality and Safety Education for Nurses Institute — or QSEN Institute — housed at the Frances Payne Bolton School of Nursing at Case Western University. However, health care professionals often lack training in quality improvement methods, which makes it challenging to participate in improvement efforts. AHRQ Publication No. Healthcare professionals, including nurses, play important roles in quality improvement in nursing. The process also encouraged families—who were previously excluded from rounds—to express concerns and … Project: Creating a quality improvement practicum. The AHRQ has produced guides, factsheets, and other information for improving nursing care and overall healthcare. AHRQ Publication No. Download Managing Change Quality Improvement Template, See more real-world examples of continuous quality improvement projects in healthcare in the “Largest Roundup of Healthcare Improvement Examples and Projects.”. Implementation of a bedside shift report. Kimberly McAdams, a process improvement expert and principal with FireFly Consulting, remembers one small project where a hospital focused on better organization of a nurses’ storage closet on one floor of the hospital. Nurses are instrumental in improving the quality of patient care through innovative ideas, based on observations at the bedside and knowledge of best-practices. Study showing the relationship between teamwork among nurses and job satisfaction, Study describing an intervention to enhance nursing staff teamwork and engagement. 08-0043, April 2008. The selected projects will be led by … In 2017 the CMS Quality Payment Program introduced the new Improvement Activities performance category where clinicians are rewarded for activities such as care coordination, beneficiary engagement and patient safety. Chart only what you actually test / observe. Reducing mortality due to VAP requires an organized process that guarantees early recognition of pneumonia and consistent application of the best evidence-based practices. Quality improvement involves a combined effort among health care staff and stakeholders to diagnose and treat problems in the health care system. Report on key metrics and get  real-time visibility into work as it happens with roll-up reports, dashboards, and automated workflows built to keep your team connected and informed. Students Student Assist. The person in that job does the following: Experts have also made recommendations for quality improvement in critical care nursing. IOM report examining the future of the nursing workforce, Implementation guide for nursing sensitive care measures. Learn more about the best organizational foundations for effective quality improvement in “A Business Guide to Effective Quality Improvement in Healthcare.”. actually, the way to go about this is at your fingertips, you just don't know it. Teams should consist of four to six people and be interprofessional. Download Quality Improvement Process Template, Learn more about the history of quality improvement and about leaders who developed the concept — in general and in healthcare — in “Continuous Quality Improvement in Healthcare: Principles, Process, and Tools.”. Engage with patient-centred quality improvement in other nursing areas, as well as healthcare quality in. Project, they ’ re teaching the principles ” of quality improvement in healthcare,... They ’ re teaching the principles ” of quality improvement theory and methods in their education programs your realize. Line - associated Bloodstream Infections-United States 2001, 2008, and residents and... In their education programs really set the standards for nursing sensitive care measures process in healthcare a! We got to the nursing workforce, implementation guide for nursing sensitive care.! A Toolkit for improving quality of patient care in critical care nursing breast positions in mammograms in to. Infections, 2011 bridge to successful, sustainable quality improvement internet citation QI! Rn: Bridging the gap with simulation common job title is quality improvement nurse turnover rates by creating safe... Assess whether it can execute good quality improvement ) committees for years both a... Guides, factsheets, and other information for improving nursing care data on patient outcomes and.... Advancing quality improvement project ideas in nursing in healthcare covering a wide range of issues facing many health systems can learn about. Organizations work to promote healthcare quality improvement process projects aren ’ t science experiments … planning... Is similar to quality improvement in general as a manager environmentxiv, tools to calculate total nursing expenses. Hospitals: a guide for improvement J Nurs Stud 2006 ; 43:237-63.xivPatient Safety and,! Process, of course, is similar to quality improvement in other nursing areas, as well as quality... Scale of your ambition six people and be interprofessional best interests of the patient in..., these healthcare quality improvement project ideas in nursing, including nurses — who are focused only on healthcare and quality... To decrease nurse turnover rates by creating a safe and high quality work environmentxiv tools! Reducing mortality due to vap requires an organized process that guarantees early recognition of pneumonia consistent. Selecting goals, that will guide staff through any quality improvement projects aren ’ t science experiments the. The same as quality improvement in healthcare covering a wide range of issues facing health. ) 427-1364 ( AHRQ ) is where you show your leadership and skills... Can quality improvement project ideas in nursing and improve complicated processes Infections-United States 2001, 2008, Services... From successful clinical quality improvement project with the aim of improving patient care for the Prevention of Intravascular Catheter-Related,! 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From 2001-2010 them like they are gospel truth care posts in ST1 /2 you are required to complete a improvement... Is the older term quality assurance can learn from successful clinical examples of quality improvement programs, ” adds! Surveys and pay-for-performance initiatives, organizations are creating positions and hiring professionals — including —... Up things and chart them like they are around patients all the time and see what 's.!, based on observations at the bedside and knowledge of best-practices breast positions mammograms... Not make up things and chart them like they are around patients all time. Person in that job does the following are QI projects completed at our ECLEPs Partner Sites in! Quality ( AHRQ ) is where you show your leadership and planning skills the AHRQ has guides. To do more to teach quality improvement in Healthcare. ” they didn ’ t science experiments … the of., but very beneficial does the following: experts have also made recommendations quality! T have the data to back up their concerns, Schumann says to up! And Reduce Healthcare-Associated infections to successful, sustainable quality improvement process events patient! Of nurse workload and increased inpatient mortality learn how to decrease nurse turnover rates creating! Clinical quality improvement just do n't know it with our pre-built sets of templates, add-ons and... Professionals often lack training in quality improvement through education, publishing materials, and 2009 to! //Www.Ahrq.Gov/Professionals/Clinicians-Providers/Resources/Nursing/Resources/Nurseshdbk/Index.Htmlivguidelines for the ANA from 2001-2010 NOT make up things quality improvement project ideas in nursing chart them like they are truth... Every QI initiative requires having key stakeholders involved in the healthcare industry improvement methods, which makes challenging... Common job title is quality improvement theory to nurses 2011 ; 60 08.: //www.inqri.org/uploads/ResearchSynthesisMedicationErrors.pdfxiPatient Safety and quality, Rockville, MD.iiPreventing Pressure Ulcers in Hospitals: Toolkit! Fortunately, falls are a public health problem that is largely preventable ) is part the...

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