Implementation of Ebp Initiatives in a Quaternary Care Health Center: What We Can Learn from the Basics

2.50
Hdl Handle:
http://hdl.handle.net/10755/148754
Type:
Presentation
Title:
Implementation of Ebp Initiatives in a Quaternary Care Health Center: What We Can Learn from the Basics
Abstract:
Implementation of Ebp Initiatives in a Quaternary Care Health Center: What We Can Learn from the Basics
Conference Sponsor:Sigma Theta Tau International
Conference Year:2007
Author:Muller, Anne, RN, MSN, CNS, NP
P.I. Institution Name:Hospital of the University of Pennsylvania
Title:Clinical Nurse Specialist
Co-Authors:Mary K. Walton,
[Symposium leadership presentation] Administration of the electrolyte potassium is essential to maintenance of cellular membrane stability, a critical element of nursing practice and delivery of safe patient care. Sharply increased patient acuity, in acute care settings frequently requires intravenous repletion of potassium, contributing significantly to both cost and patient discomfort. Issues with the administration of potassium include delivery of safe peripheral and central venous concentrations, appropriate diagnostic and physiologic monitoring and integration of practice with national patient safety goals. Implementation of an improved process at the Hospital of the University of Pennsylvania was sparked through the Shared Governance process; arising from staff nurse concerns. Subsequently, a clinically transdisciplinary team was formed, charged with developing a comprehensive plan for improving the process of potassium administration. In keeping with the Iowa model of EBP, a literature review was completed, resulting in multiple transdisciplinary changes and successful implementation of  changed care delivery practices. Prior to implementation, communication was through email and the nursing internet site, coupled with extensive in person discussions. Accurate documentation on the electronic medication administration record and pharmacy's role in maintaining patient safety were both initiative priorities..   A post implementation audit process included solicitation of staff?s perception through a variety of forums and "swat team" interventions when barriers to implementation occurred. Future plans include evaluating the usefulness of linking oral diet orders with electronic triggers to promote oral replacement and the use of automated barcode technology to compare delivery time and order time. Central to our process improvement plan was an emphasis on patient safety and the role of the bedside nurse in identifying and evaluating practice issues.  As our healthcare system continues to evolve into an increasing complex system of delivery, the processes by which simple procedures, such as electrolyte replacement, are accomplished can lend valuable insight into wide scale process improvement.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleImplementation of Ebp Initiatives in a Quaternary Care Health Center: What We Can Learn from the Basicsen_GB
dc.identifier.urihttp://hdl.handle.net/10755/148754-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Implementation of Ebp Initiatives in a Quaternary Care Health Center: What We Can Learn from the Basics</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2007</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Muller, Anne, RN, MSN, CNS, NP</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Hospital of the University of Pennsylvania</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Clinical Nurse Specialist</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">Anne.Muller@uphs.upenn.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Mary K. Walton,</td></tr><tr><td colspan="2" class="item-abstract">[Symposium leadership presentation] Administration of the electrolyte potassium is essential to maintenance of cellular membrane stability, a critical element of nursing practice and delivery of safe patient care. Sharply increased patient acuity, in acute care settings frequently requires intravenous repletion of potassium, contributing significantly to both cost and patient discomfort. Issues with the administration of potassium include delivery of safe peripheral and central venous concentrations, appropriate diagnostic and physiologic monitoring and integration of practice with national patient safety goals.&nbsp;Implementation of an improved process at the Hospital of the University of Pennsylvania was sparked through the Shared Governance process; arising from staff nurse concerns. Subsequently, a clinically transdisciplinary team was formed, charged with developing a comprehensive plan for improving the process of potassium administration. In keeping with the Iowa model of EBP, a literature review was completed, resulting in multiple transdisciplinary changes and successful implementation of &nbsp;changed care delivery practices. Prior to implementation, communication was through email and the nursing internet site, coupled with extensive in person discussions. Accurate documentation on the electronic medication administration record and pharmacy's role in maintaining patient safety were both initiative priorities..&nbsp; &nbsp;A post implementation audit process included solicitation of staff?s perception through a variety of forums and &quot;swat team&quot; interventions when barriers to implementation occurred. Future plans include evaluating the usefulness of linking oral diet orders with electronic triggers to promote oral replacement and the use of automated barcode technology to compare delivery time and order time. Central to our process improvement plan was an emphasis on patient safety and the role of the bedside nurse in identifying and evaluating practice issues.&nbsp; As our healthcare system continues to evolve into an increasing complex system of delivery, the processes by which simple procedures, such as electrolyte replacement, are accomplished can lend valuable insight into wide scale process improvement.</td></tr></table>en_GB
dc.date.available2011-10-26T09:50:06Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T09:50:06Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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