Transforming Care at the Bedside (TCAB)

Slides:

Advertisements

Similar presentations

“ Standardization of Guidelines for the Non-dialysis Renal Patient Receiving Erythropoietin” “confidential:quality improvement Material”

Advertisements

Title Patient Patient Advisory CouncilAdvisory Council Patient Advisory Council.

A “Scope in Time” Saves Lives: Decreasing GI Lab Wait Times Team Members : Lynn Heicher, RN, MS, CGRN, CLNC Mary Ann Bungag, RN, BSN, CGRN Rose Lach, RN,

Transforming Care and Cost at the Bedside Jennifer Fogel, RN Director of Nursing Systems Eastern Maine Medical Center.

Care Coordination Program for Heart Failure Susan Levine RN Director Clinical Resource Management Carolyn Timmons BSN,RN Lead Clinical Care Coordinator.

Quality Care Improvement Project 4D Trauma Unit Kelly Quinn RN, MS, CNS Allison Morton, RN, BSN Jignasa Pancholy, RN Holland Stephens, RN, MSN, CNL.

Healthy Work Environment Elizabeth Degelbeck, Justin Hacker, Kristine Lantz, and Courtney Wilson.

Clinical Nurse Leadership in the Critical Care Setting Karen S. Broderick, MSN, RN, CCRN Clinical Nurse Leader for Critical Care Middlesex Hospital January.

Ashley Deal University of Central Florida

23rd Annual U.S. Public Health Service Nursing Recognition Day Conference "Moving Nursing Forward: Connecting the Dots for our Future“ Panel Discussion:

Sickle Cell Pain Management in the Emergency Department B. Probst, MD; J. Williams, RN; D. Speed, RN, MSN; M. Cichon, DO; C. Jackson, MD; M. Pearlman,

Pain, Agitation, and Delirium: Bringing it All Together Peter Dodek.

Partnering with Patients and Families in the PICU and Pediatric Emergency Department Liz DuBois MS, RN NE,BC, Tuesday Cirillo RN, MA, APN, Patricia Cupka.

Coordinating Care Sierra Dulaney Lisa Fassett Morgan Little McKenzie McManus Summer Powell Jackie Richardson.

Leanne Lemon, RN, BSN, MSN Candidate Spring 2013.

Engaging the Workforce in Key Projects Leadership Symposium April 19, 2011 Linda Whaley, MS, RN, Vice President Clinical Services Amy Stark MSN, RN-BC,

CLABSI Supplemental Call Series How CUSP Enables Nurse Empowerment November 15, 2011 Presenters: Pat Posa, RN, BSN, MSA Joanne Timmel, MSN, RN, NE-BC.

Improving Patient Safety Through Increased Hand Hygiene Compliance TEAM MEMBERS Janis Bartel, M.S.N., Infection Control Practitioner Gigi Marinakos-Trulis,

Collaborative Fall Reduction Program Jane Swaim, RN CNO, Senior Vice President, Nursing Jeannie Smith RN, Clinical Data Coordinator, Quality Management.

Confidential: Quality Improvement Material The Suicide Risk Assessment in the Psychiatric Population Team Members Mary Kenny, RN MS Lisa Beck, LCSW Lisa.

Gripesand Performance Improvement In Residency Auxford Burks, MD Albert Einstein College of Medicine Department of Pediatrics/ Jacobi Medical Center.

S.O.S. Save Our Skin Confidential: For Quality Improvement Purposes Only.

Consulting Services. The Institute of Medicine’s call for action affirmed the need for a “Business Excellence” approach in the delivery of emergency care.

How to Arrange and Rearrange so the Pieces Fit Barriers to Implementation of Evidenced Based Practice Vicki Good, RN MSN CCNS CENP Director of Nursing.

Provide the right care for each patient at the right time in the right care setting Transitions in Care: Caring for our Patients Connecting our Partners.

Improving Length of Stay and Patient Satisfaction by Implementing Multidisciplinary Rounds Jessica Malloy, MS, RN-BC, ONC, Iris Gonzalo-Sowle, BS, RN-BC,

Introduction The American Nurses Association estimates that eighty percent of serious medical errors involve miscommunication between caregivers when patients.

Communicating the value of the work and the role of caregiver is essential. A caring team works together to promote harmony and healing among themselves.

Delivering Safe Pediatric CRRT: Development of a Multidisciplinary Program Cheri McEssy RN, BSN, CCRN CMH CRRT Program Coordinator Children’s Memorial.

MiPCT Embedded Case management Barriers to developing an embedded Case Management program.

1 Western Node Collaborative BC Children’s Hospital Medication Reconciliation Penticton – October 2006.

NPASS and the journey to improved documentation Team Members: Elaine Trulis, RN, BSN – NICU Manager NICU Nursing Staff Patricia Hummel, RNC, MS, APN-NNP/PNP.

Aidah Abu Elsoud Alkaissi BSc law, RN, RNT, BSN, MSN, CCRN, CRNA, PhD Head of Nursing & Midwifery Department Faculty of Medicine & Health Sciences An-Najah.

Pain Control in the Laboring Patient Dr John Gianopoulos MD Dr Ku-mie Kim MD Sandra Swanson RN MSOD Maureen Davey RNC Denise Goray RN BSN.

Utilization of Care Coordinators in Patient-Centered Medical Homes Elizabeth Beck MS(c), BSN, RN Mary Jo Welker, MD Randy Wexler, MD.

Fall Improvement Team, Veterans Health Unit

National Case Management Week

Peripherally Inserted Central Catheter PREVENTIVE BUNDLE

Developing Safety Huddles to Meet Organizational Needs Brett Shipley MSN, RN Patient Safety Officer Ann Steffe MSN, RN, PCCN Director of Critical.

MULTI DISPLINARY CARE.. . PATIENT PHYSICIANNURSESOTHERSDIETITIANPHYSIOTHERAPIST.

Presented by Cynthia Wilson BSN, RN-BC

THIRLBY CLINIC, P.L.C. - TRAVERSE CITY, MI

MHA Immersion Pilot Project Mercy Hospital Springfield Improving Transitions of Care and Reducing Hospital Readmissions for Total Hip.

A Team Approach to Improve Patient Satisfaction on 6 East

Research Implications: Clinical Implications:

Medical College of Wisconsin

Palliative Care at South County Health

South Sacramento Department Quality Councils

Emergency Department Consulting

Best Practice: Decreasing avoidable ED visits and 30 day readmits

Improving Access to Subspecialty Care in an Academic Medical Center

National Recognition Week for Hospital/Health System Case Managers

2017 Re-designation Site Visit Preparation

The Importance of Bedside Report on CICU

Fall Reduction Program

Engaging a Microsystem to Reduce 30-Day Readmissions on an Acute Care Unit Erin Johnson, MSN, RN, Sara Stetz, MSN, RN.

Peg Bradke and Rebecca Steinfield

National Case Management Week October 7-13, 2018

Consulting Services.

STOP, COLLABORATE and LISTEN: One Hospital’s solution to the rising number of psychiatric patients on a medical unit Jennifer St.Peters RN, MS, CPN Kim.

Hamilton General Hospital Hamilton, Ontario

Bringing Pharmaceutical Care to the Child’s Bedside

Setting the Scene: Preventing Hospital Acquired Pressure Ulcers

Shared Governance to Drive an Improved Work Environment

Patient Safety Awareness Week 2018

Developing Safety Huddles to Meet Organizational Needs Brett Shipley MSN, RN Patient Safety Officer Ann Steffe MSN, RN, PCCN Director of Critical.

PNEUMONIA Team Membership: Susan A . Tuzik, MS, RN

The Magnet Program from the Perspective of the Magnet Hospital

Structures, Process and Outcome

Registered Nurse’s Use of HIT, 2006: Findings from a National Survey

Presentation transcript:

Transforming Care at the Bedside (TCAB) Partnership between Robert Wood Johnson Foundation and Institute of Healthcare Improvement with the American Organization of Nurse Executives to focus on: Quality and safety of patient care Vitality and retention of nurses Patient and family members’ experience of care The effectiveness of the entire team Confidential: Quality Improvement Material

Shared Governance with Magnet Forces: Force 1- Quality of Nursing Leadership Force 3- Management Style Force 6- Quality of Care Force 7- Quality Improvement Force 8- Consultation and Resources Force 11- Nurses as Teachers Force 12- Image of Nursing Force 13- Interdisciplinary Relationships Force 14- Professional Development Confidential: Quality Improvement Material

amount of non- emergent interruptions. Aim Improve nursing satisfaction greater than 80% during initial assessment and medication administration by decreasing the amount of non- emergent interruptions. Confidential: Quality Improvement Material

Cycle 1 Plan and Do Develop Guidelines Create poster to educate staff and MDs Define non-emergent interruptions to be “Issues and information that does not require nursing judgment” Define focus time to be “a 1 hour window between 0800-0900 & 2000-2100” (2008 National Patient Safety Goals Manual, Requirement 3) Educate Service Coordinators (SC) about importance of detailed messages for nurses Educate SC relaying mode of travel to ancillary departments Study Confidential: Quality Improvement Material

Nursing Satisfaction After Cycle 1 Confidential: Quality Improvement Material

Cycle 2 Plan and Do Discuss Barriers: Medical team not familiar w/ “Focus Time” Day Limitations: Transportation mode phone calls and family phone calls Night Limitations:  Family at bedside w/ questions wanting to see RN before they left, no ice/water for medication administration and many admits Confidential: Quality Improvement Material

Cycle 2 Plan and Do Implementations: Educate patients, families and friends about focus time with unit brochure Educate staff to document patient mode of transportation in Epic Educate ancillary units how to utilize EPIC Create visual awareness: stop light Develop Predki Model: have pitcher of ice water on med cart available for med administration Met w/ IT to change system wide issue and have all ancillaries able to view “mode of travel” Confidential: Quality Improvement Material

Nursing Perception Regarding Phone Calls After Cycle 2 Confidential: Quality Improvement Material

Cycle 3 Plan and Do Discuss barriers Ancillary departments calling for patient status information such as Any changes in condition NPO maintained Medication given Patients asking same types of questions from RN about procedures and pt education information on intranet is outpatient specific. Confidential: Quality Improvement Material

Cycle 3 Plan and Do Implementations: Continue to: Met with ancillary departments collaboratively revise pt education information sheets to be inpatient friendly Continue to: Educate staff to document patient mode of transportation in Epic Educate ancillary units how to utilize EPIC Provide visual awareness Study sustainability of RN satisfaction Confidential: Quality Improvement Material

Nursing Satisfaction After Cycle 3 Confidential: Quality Improvement Material

Next Steps Collaborate with ancillary departments to revise pt education information sheets Continue to survey nursing satisfaction of “Focus Time” Review reports of medication dispensing errors and study effects of Focus Time Share success story nationally, April 2009 Spread process to other units Celebrate success Confidential: Quality Improvement Material

You too can be… TCABLE Team Members Stacy Hubert RN, MS Theresa Pavone RN, MSN Mary Morrow PhD Michelle Ragasa RN, BSN Daphne Bobo RN Sarah Born RN, BSN Sabrina Ensign RN Sima Patel RN, BSN Laura Rodriguez RN Becky Savastano RN, BSN The entire 3 NESW nursing unit Confidential: Quality Improvement Material