Ward Redesign Pilot Data Cycle 2

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Presentation transcript:

Ward Redesign Pilot Data Cycle 2 February 28, 2013

Methods Dates covered: 2/17 at 7am – 2/23 at 7am (full call cycle) aka “Cycle 2” Data sources: Censuses printed at 7am every day Questionnaire asked of teams in AM after day cycle complete Admission Triage sheet used to track admission evaluations, admissions, teams to which patient admitted Significant change during Cycle 2 As of 2/18, Night Accept Team and Gold switched positions regarding overnight admissions (Gold receives 4 patients first or up to 16 followed by Night Accept Team)

Daily Medicine Services Census = weekend

Daily Team Censuses (Cycle 2)

Average Daily Team Censuses (Cycle 2)

Average Daily Team Censuses (Cycle 1)

Daily Censuses Based on Day in Call Cycle (Cycle 2) = Gold and Night Accept switch

Average Daily Censuses Based on Day in Call Cycle (Cycle 2)

Average Daily Censuses Based on Day in Call Cycle (Cycle 1)

Daily Additions to Censuses (Cycle 2) = Gold and Night Accept switch

Average Daily Additions to Censuses (Cycle 2)

Average Daily Additions to Censuses (Cycle 1)

Daily Admission Evaluations Performed (Cycle 2)

Average Daily Admission Evaluations Performed (Cycle 2)

Average Daily Admission Evaluations Performed (Cycle 1)

Daily Admissions Performed (Cycle 2)

Average Daily Admissions Performed (Cycle 2)

Average Daily Admissions Performed (Cycle 1)

Daily MICU Transfers Performed (Cycle 2)

Average Daily MICU Transfers Performed (Cycle 2)

Average Daily MICU Transfers Performed (Cycle 1)

Daily MICU Transfers + Admission Evaluations (Cycle 2)

Average Daily MICU Transfers + Admission Evaluations (Cycle 2)

Average Daily MICU Transfers + Admission Evaluations (Cycle 1)

Daily MICU Transfers + Admissions Performed (Cycle 2)

Average Daily MICU Transfers + Admissions Performed (Cycle 2)

Average Daily MICU Transfers + Admissions Performed (Cycle 1)

Daily Handoffs (Cycle 2)

Average Daily Handoffs (Cycle 2)

Average Daily Handoffs (Cycle 1)

Conclusions General numbers similar Cycle 1 and Cycle 2 Most team census around 8-12 patients Gold and Night Accept Team switch has resulted in higher daily Gold census and more daily additions to Gold census Night Accept Team still with highest AM census among teaching services Hand offs still very low