2.50
Hdl Handle:
http://hdl.handle.net/10755/162897
Type:
Presentation
Title:
Peer Review: Setting the Stage for Quality Patient Care
Abstract:
Peer Review: Setting the Stage for Quality Patient Care
Conference Sponsor:Emergency Nurses Association
Conference Year:2006
Author:Dennie, Meriam, RN, BSN, MS, CEN, CFRN, SANE-A
P.I. Institution Name:Christiana Care Health System
Title:Flight Nurse RNII
Contact Address:4755 Ogletown-Stanton Rd., Newark, DE, 19718, USA
Contact Telephone:(302) 733-5558
Clinical Topic: Peer review has been defined as "a process for evaluating the care provided by an individual according to acceptable standards." Peer review, at its most basic level, supports patient safety through quality care" the ultimate goal. The purpose of this project was to provide the flight team a planned, systematic, and collaborative approach to oversee and direct quality improvement related to transport processes, functions, and services provided. The scope of practice included quality improvement and practice related to chart audit and medical forum chart review that provides continuing education. This is an 800-bed, Level I trauma center, located in a suburban Mid-Atlantic area with approximately 100,000 annual emergency department visits of which the flight team transports approximately percentage. Implementation: A peer committee was developed and charged with reviewing charts, specifically, focusing on documentation and practice. The committee is composed of two flight nurses, two flight medics, and the chief flight nurse. All transports cases are reviewed monthly. Specific criteria using evidence-based practice and national standards are the basis for the review criteria along with action plans for standards not met. Examples of the criteria are: a presence of a full beginning and ending assessment with vital signs; is it clear why the patient is being transported; and have all interventions been documented. The criteria change when there has been 100% compliance for a three-month period. The project began in year and remains a work in progress depending on unforeseen situations during flights. Chief flight nurse and medical director involvement and support, along with education of the flight team, were paramount to the project's success prior to implementation. Outcomes: Evaluation of the peer review process demonstrated a more uniform delivery of care as well as adherence to defined standards of care. This was demonstrated by uniform documentation of charts after the criteria was followed as well as open and constructive interaction among crew members at monthly continuous quality improvement meetings. Overall, the system helped to make documentation much better and staff was more willing to make changes based on what was found because their peers were conducting the reviews. Thus, patient care issues were addressed in a more expedient manner. Corrective action plans promoted positive behaviors rather than negative attitudes. Unique cases were presented at monthly group forums. As a result, new practice guidelines were developed based on recent literature and studies that reflected changing standards of care nationwide. If one particular person seemed to have a problem then the chief flight nurse or Medical Director addressed the issue with that crew member formulating a corrective action plan that the crew member helped to develop. This is not to say that there was not any resistance to the program. In the beginning it was often difficult for staff to accept constructive criticism from a peer. Over time, each crew member has been able to see the positive effect that peer review has had on the flight program. Peer review has resulted in an overall improvement in assessment, treatment, and evaluation of transported patients. Recommendation: Continued peer review enables the flight team to refine their assessment, treatment, and evaluation of transported patients, thus allowing administration to expand the focus from documentation and practice to annual performance reviews. Ultimately, the goal is to have superior individual performance result in higher team cohesiveness and improved patient outcomes. The ground team is presently developing a similar program and the emergency department is seeking to modify the program as well.
Repository Posting Date:
27-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Emergency Nurses Association

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titlePeer Review: Setting the Stage for Quality Patient Careen_GB
dc.identifier.urihttp://hdl.handle.net/10755/162897-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Peer Review: Setting the Stage for Quality Patient Care</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Emergency Nurses Association</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2006</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Dennie, Meriam, RN, BSN, MS, CEN, CFRN, SANE-A</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Christiana Care Health System</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Flight Nurse RNII</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">4755 Ogletown-Stanton Rd., Newark, DE, 19718, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">(302) 733-5558</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">mdennie@christianacare.org</td></tr><tr><td colspan="2" class="item-abstract">Clinical Topic: Peer review has been defined as &quot;a process for evaluating the care provided by an individual according to acceptable standards.&quot; Peer review, at its most basic level, supports patient safety through quality care&quot; the ultimate goal. The purpose of this project was to provide the flight team a planned, systematic, and collaborative approach to oversee and direct quality improvement related to transport processes, functions, and services provided. The scope of practice included quality improvement and practice related to chart audit and medical forum chart review that provides continuing education. This is an 800-bed, Level I trauma center, located in a suburban Mid-Atlantic area with approximately 100,000 annual emergency department visits of which the flight team transports approximately percentage. Implementation: A peer committee was developed and charged with reviewing charts, specifically, focusing on documentation and practice. The committee is composed of two flight nurses, two flight medics, and the chief flight nurse. All transports cases are reviewed monthly. Specific criteria using evidence-based practice and national standards are the basis for the review criteria along with action plans for standards not met. Examples of the criteria are: a presence of a full beginning and ending assessment with vital signs; is it clear why the patient is being transported; and have all interventions been documented. The criteria change when there has been 100% compliance for a three-month period. The project began in year and remains a work in progress depending on unforeseen situations during flights. Chief flight nurse and medical director involvement and support, along with education of the flight team, were paramount to the project's success prior to implementation. Outcomes: Evaluation of the peer review process demonstrated a more uniform delivery of care as well as adherence to defined standards of care. This was demonstrated by uniform documentation of charts after the criteria was followed as well as open and constructive interaction among crew members at monthly continuous quality improvement meetings. Overall, the system helped to make documentation much better and staff was more willing to make changes based on what was found because their peers were conducting the reviews. Thus, patient care issues were addressed in a more expedient manner. Corrective action plans promoted positive behaviors rather than negative attitudes. Unique cases were presented at monthly group forums. As a result, new practice guidelines were developed based on recent literature and studies that reflected changing standards of care nationwide. If one particular person seemed to have a problem then the chief flight nurse or Medical Director addressed the issue with that crew member formulating a corrective action plan that the crew member helped to develop. This is not to say that there was not any resistance to the program. In the beginning it was often difficult for staff to accept constructive criticism from a peer. Over time, each crew member has been able to see the positive effect that peer review has had on the flight program. Peer review has resulted in an overall improvement in assessment, treatment, and evaluation of transported patients. Recommendation: Continued peer review enables the flight team to refine their assessment, treatment, and evaluation of transported patients, thus allowing administration to expand the focus from documentation and practice to annual performance reviews. Ultimately, the goal is to have superior individual performance result in higher team cohesiveness and improved patient outcomes. The ground team is presently developing a similar program and the emergency department is seeking to modify the program as well.</td></tr></table>en_GB
dc.date.available2011-10-27T10:36:01Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-27T10:36:01Z-
dc.description.sponsorshipEmergency Nurses Associationen_GB
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