2.50
Hdl Handle:
http://hdl.handle.net/10755/182161
Category:
Abstract
Type:
Presentation
Title:
Using Technology to Improve Empirical Outcomes
Author(s):
Fischer, James
Author Details:
James Fischer, MS, MBA, RN, NEA-BC, Vice President and Chief Nursing Officer, Munson Medical Center, Traverse City, Michigan, USA, email: jfischer@mhc.net
Abstract:
Podium presentation, ANCC National Magnet Conference: The initial nursing goal for implementing an electronic health record (EHR) is typically to have a repository for nursing documentation. This Magnet organization has evolved its EHR over the past seven years to optimally support nursing practice and improve patient outcomes. A multitude of processes were instituted and changes made to the system resulting in a safer patient care environment. The number of memory-based nursing tasks has been decreased through these efforts and patient outcomes have been improved. This session will describe the structure, process, and outcomes the organization employed to realize these innovations in clinical practice. A committee comprised of direct care nurses from across the hospital was formed, a list of opportunities was created, and current state and future state processes were identified. Modifications were then made to the EHR to support these changes. Some of the improvements seen in nursing practice include: near perfect restraint documentation, a significant reduction in medication errors, consistent pain documentation, and routine patient education documentation. Some of the improvements realized in patient outcomes include: skin breakdown rates in the best NDNQI quartile, reduction in CAUTIs, reduction in patient falls, and no ventilator associated pneumonias for over a year in its three critical care units. In addition, 100% of the patients needing a pneumonia vaccine or smoking cessation counseling have received it. Patient satisfaction has also been in the top decile. This organization is now well positioned to be a re-designated Magnet hospital in part, because of these improvements in empirical outcomes.
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.titleUsing Technology to Improve Empirical Outcomesen_GB
dc.contributor.authorFischer, Jamesen_US
dc.author.detailsJames Fischer, MS, MBA, RN, NEA-BC, Vice President and Chief Nursing Officer, Munson Medical Center, Traverse City, Michigan, USA, email: jfischer@mhc.neten_US
dc.identifier.urihttp://hdl.handle.net/10755/182161-
dc.description.abstractPodium presentation, ANCC National Magnet Conference: The initial nursing goal for implementing an electronic health record (EHR) is typically to have a repository for nursing documentation. This Magnet organization has evolved its EHR over the past seven years to optimally support nursing practice and improve patient outcomes. A multitude of processes were instituted and changes made to the system resulting in a safer patient care environment. The number of memory-based nursing tasks has been decreased through these efforts and patient outcomes have been improved. This session will describe the structure, process, and outcomes the organization employed to realize these innovations in clinical practice. A committee comprised of direct care nurses from across the hospital was formed, a list of opportunities was created, and current state and future state processes were identified. Modifications were then made to the EHR to support these changes. Some of the improvements seen in nursing practice include: near perfect restraint documentation, a significant reduction in medication errors, consistent pain documentation, and routine patient education documentation. Some of the improvements realized in patient outcomes include: skin breakdown rates in the best NDNQI quartile, reduction in CAUTIs, reduction in patient falls, and no ventilator associated pneumonias for over a year in its three critical care units. In addition, 100% of the patients needing a pneumonia vaccine or smoking cessation counseling have received it. Patient satisfaction has also been in the top decile. This organization is now well positioned to be a re-designated Magnet hospital in part, because of these improvements in empirical outcomes.en_GB
dc.date.available2011-10-28T15:11:52Z-
dc.date.issued2011-10-28en_GB
dc.date.accessioned2011-10-28T15:11:52Z-
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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