2.50
Hdl Handle:
http://hdl.handle.net/10755/182076
Category:
Abstract
Type:
Presentation
Title:
Clinical Microsystems: A New Framework for Improvements in Patient Care and Service Strategies
Author(s):
Swan, Nina
Author Details:
Nina Swan, MSN, RN, Clinical Nurse Leader, Maine Medical Center, Portland, Maine, USA, email: swann@mmc.org
Abstract:
Podium presentation, ANCC National Magnet Conference: When our Chief Nursing Officer (CNO) visited a hospital in Sweden that had been successfully utilizing a clinical microsystems approach to quality for many years, she carefully assessed the improvements they had achieved and outcomes that they were able to sustain. She brought her findings back to our Chief Operating Officer and the Presidents Council who supported building and implementing a structure for microsystems as a new approach to quality care. Partnering with experts in microsystems thinking, skills and processes, our hospital committed to training a vanguard cohort of ten interdisciplinary teams who had internal and external coaches helping to guide them. The teams built the plane while flying it and began to identify opportunities for improvement immediately. Focusing on frontline systems, the nurse-led teams systematically analyzed relationships and process flow to optimize efficiencies and effectiveness of tests of change. Some of the successes that the microsystem teams achieved include: decreased patient wait times; improved pain scores; decreased infection rates; improved patient satisfaction scores; standardized patient education; creation of patient discharge pathways; updated physician order sets; engagement and increased communication to front line workers; decreased length of stay; and increased on-time order entry of medications. The Clinical Microsystems approach provides a conceptual and practical framework for simplifying the complexity of healthcare systems. Because of its interdisciplinary and patient focus, it is an important tool that helps to ensure continuous progress toward optimal delivery of care.
Repository Posting Date:
28-Oct-2011
Date of Publication:
28-Oct-2011
Conference Date:
2010
Conference Name:
ANCC National Magnet Conference
Conference Host:
American Nurses Credentialing Center
Conference Location:
Phoenix, Arizona, USA
Description:
The 14th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 13-15 October, 2010 at the Phoenix Convention Center in Phoenix, Arizona, 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_US
dc.typePresentationen_GB
dc.titleClinical Microsystems: A New Framework for Improvements in Patient Care and Service Strategiesen_GB
dc.contributor.authorSwan, Ninaen_US
dc.author.detailsNina Swan, MSN, RN, Clinical Nurse Leader, Maine Medical Center, Portland, Maine, USA, email: swann@mmc.orgen_US
dc.identifier.urihttp://hdl.handle.net/10755/182076-
dc.description.abstractPodium presentation, ANCC National Magnet Conference: When our Chief Nursing Officer (CNO) visited a hospital in Sweden that had been successfully utilizing a clinical microsystems approach to quality for many years, she carefully assessed the improvements they had achieved and outcomes that they were able to sustain. She brought her findings back to our Chief Operating Officer and the Presidents Council who supported building and implementing a structure for microsystems as a new approach to quality care. Partnering with experts in microsystems thinking, skills and processes, our hospital committed to training a vanguard cohort of ten interdisciplinary teams who had internal and external coaches helping to guide them. The teams built the plane while flying it and began to identify opportunities for improvement immediately. Focusing on frontline systems, the nurse-led teams systematically analyzed relationships and process flow to optimize efficiencies and effectiveness of tests of change. Some of the successes that the microsystem teams achieved include: decreased patient wait times; improved pain scores; decreased infection rates; improved patient satisfaction scores; standardized patient education; creation of patient discharge pathways; updated physician order sets; engagement and increased communication to front line workers; decreased length of stay; and increased on-time order entry of medications. The Clinical Microsystems approach provides a conceptual and practical framework for simplifying the complexity of healthcare systems. Because of its interdisciplinary and patient focus, it is an important tool that helps to ensure continuous progress toward optimal delivery of care.en_GB
dc.date.available2011-10-28T15:08:02Z-
dc.date.issued2011-10-28en_GB
dc.date.accessioned2011-10-28T15:08:02Z-
dc.conference.date2010en_US
dc.conference.nameANCC National Magnet Conferenceen_US
dc.conference.hostAmerican Nurses Credentialing Centeren_US
dc.conference.locationPhoenix, Arizona, USAen_US
dc.descriptionThe 14th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 13-15 October, 2010 at the Phoenix Convention Center in Phoenix, Arizona, USA.en_US
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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