EYE SPY- Can YOU See the Improvement with Safety, Compliance and Improved Patient Satisfaction? Use of a Simple Bed Tag

2.50
Hdl Handle:
http://hdl.handle.net/10755/157035
Category:
Abstract
Type:
Presentation
Title:
EYE SPY- Can YOU See the Improvement with Safety, Compliance and Improved Patient Satisfaction? Use of a Simple Bed Tag
Author(s):
Rankin, Tracey K.; Hatfield, Daniella
Author Details:
Tracey K. Rankin, RN,MSN, University of North Carolina Hospital, Chapel Hill, North Carolina, USA, email: trankin@unch.unc.edu; Daniella Hatfield
Abstract:
PURPOSE: The quest to continually improve clinical practice each day poses challenges as the acuity and complexity of patients rises. The postoperative cardiothoracic progressive care unit at UNC hospitals faced a practice concern involving lack of daily weights documented on patientsÆ charts in January 2009. To address this opportunity for improvement, the unit created a simple bed tag to increase compliance with documenting patient daily weights. DESCRIPTION: The unit was facing a 50% to 75% noncompliance rate with physician orders for daily weights on patients. Several root causes to the noncompliance were identified: staff stated resistance by patients who didnÆt want to get out of bed for daily weight; it was difficult to obtain a weight on bed ridden patients as it was unclear when bed scale was last zeroed; the unit only had one standing scale to weigh patients. A tool, in the form of a paper bed tag, was developed to indicate when the bed was zeroed so one touch bed scales could be used to weigh patients without getting them up. "Bedside suction set-up" was added to the bed tag because suction setup is a major safety necessity. The staff that set up a clean room would zero the bed, and place a new suction set-up in the room, then sign and date the bed tag at the foot of bed. Room inspection visual check was added in a second version of the tag to ensure the room met cleanliness standards as a patient satisfaction initiative. Several drafts of the tag were trialed before a final tag and name, "Eye SPY Room Check" was chosen; Eye for visual inspection, S for safety and suction set-up, P for pounds (Zeroing the bed for weights), and Y for You, as in, "Is this room clean enough for You?" EVALUATION/OUTCOMES:The Eye SPY bed tag has decreased the noncompliance of daily weights to between 20% to 30%. One unanticipated benefit has come from beds being zeroed consistently, which has helped with having bed exit alarms functional due to proper weights. Our facility had a sentinel event due to a bed not zeroed and bed exit alarm. The other benefits that have been realized secondary to the implementation of Eye SPY include increased staff ownership of the process, increased patient satisfaction with room cleanliness, and increased safety compliance with consistent suction set up.
Repository Posting Date:
26-Oct-2011
Date of Publication:
26-Oct-2011
Citation:
2010 National Teaching Institute Research Abstracts. American Journal of Critical Care, 19(3), e15-e28. doi:10.4037/ajcc2010866
Conference Date:
2010
Conference Name:
National Teaching Institute and Critical Care Exposition
Conference Host:
American Association of Critical-Care Nurses
Conference Location:
Washington, D.C., USA
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleEYE SPY- Can YOU See the Improvement with Safety, Compliance and Improved Patient Satisfaction? Use of a Simple Bed Tagen_GB
dc.contributor.authorRankin, Tracey K.en_GB
dc.contributor.authorHatfield, Daniellaen_GB
dc.author.detailsTracey K. Rankin, RN,MSN, University of North Carolina Hospital, Chapel Hill, North Carolina, USA, email: trankin@unch.unc.edu; Daniella Hatfielden_GB
dc.identifier.urihttp://hdl.handle.net/10755/157035-
dc.description.abstractPURPOSE: The quest to continually improve clinical practice each day poses challenges as the acuity and complexity of patients rises. The postoperative cardiothoracic progressive care unit at UNC hospitals faced a practice concern involving lack of daily weights documented on patientsÆ charts in January 2009. To address this opportunity for improvement, the unit created a simple bed tag to increase compliance with documenting patient daily weights. DESCRIPTION: The unit was facing a 50% to 75% noncompliance rate with physician orders for daily weights on patients. Several root causes to the noncompliance were identified: staff stated resistance by patients who didnÆt want to get out of bed for daily weight; it was difficult to obtain a weight on bed ridden patients as it was unclear when bed scale was last zeroed; the unit only had one standing scale to weigh patients. A tool, in the form of a paper bed tag, was developed to indicate when the bed was zeroed so one touch bed scales could be used to weigh patients without getting them up. "Bedside suction set-up" was added to the bed tag because suction setup is a major safety necessity. The staff that set up a clean room would zero the bed, and place a new suction set-up in the room, then sign and date the bed tag at the foot of bed. Room inspection visual check was added in a second version of the tag to ensure the room met cleanliness standards as a patient satisfaction initiative. Several drafts of the tag were trialed before a final tag and name, "Eye SPY Room Check" was chosen; Eye for visual inspection, S for safety and suction set-up, P for pounds (Zeroing the bed for weights), and Y for You, as in, "Is this room clean enough for You?" EVALUATION/OUTCOMES:The Eye SPY bed tag has decreased the noncompliance of daily weights to between 20% to 30%. One unanticipated benefit has come from beds being zeroed consistently, which has helped with having bed exit alarms functional due to proper weights. Our facility had a sentinel event due to a bed not zeroed and bed exit alarm. The other benefits that have been realized secondary to the implementation of Eye SPY include increased staff ownership of the process, increased patient satisfaction with room cleanliness, and increased safety compliance with consistent suction set up.en_GB
dc.date.available2011-10-26T19:21:47Z-
dc.date.issued2011-10-26en_GB
dc.date.accessioned2011-10-26T19:21:47Z-
dc.identifier.citation2010 National Teaching Institute Research Abstracts. American Journal of Critical Care, 19(3), e15-e28. doi:10.4037/ajcc2010866en_GB
dc.conference.date2010en_GB
dc.conference.nameNational Teaching Institute and Critical Care Expositionen_GB
dc.conference.hostAmerican Association of Critical-Care Nursesen_GB
dc.conference.locationWashington, D.C., USAen_GB
dc.identifier.citation2010 National Teaching Institute Research Abstracts. American Journal of Critical Care, 19(3), e15-e28. doi:10.4037/ajcc2010866en_GB
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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