Fostering Nursing Workforce Innovation: Expediting OB Patient Throughput, Decreasing LOS, and Optimizing Hidden Bed Capacity

2.50
Hdl Handle:
http://hdl.handle.net/10755/182354
Category:
Abstract
Type:
Presentation
Title:
Fostering Nursing Workforce Innovation: Expediting OB Patient Throughput, Decreasing LOS, and Optimizing Hidden Bed Capacity
Author(s):
Aswell Terrell, Leah
Author Details:
Leah Aswell Terrell, MSN, RNC-MNN, Nurse Manager, Woman's Hospital, Baton Rouge, Louisiana, USA, email: leah.terrell@womans.org
Abstract:
Poster presentation, ANCC National Magnet Conference: Capacity constraints strain hospital resources and adversely impact healthcare operations. Effective resource allocation and capacity management are contingent upon patient throughput and the nursing workforce's engagement in throughput initiatives. Engagement of the nursing workforce at a women's specialty hospital assisted with identifying the need for innovative changes to care for obstetrical patients within the physical restraints of the facility. The hospital contracted a management-engineering firm to assist with evaluating their current processes. Process mapping, time studies, and data analyses of the inpatient obstetrical areas revealed that peak obstetrical delivery and discharge times overlapped. Process mapping also unveiled that many activities took place on the day of discharge that could occur sooner during the hospital stay in order to improve efficiencies. Consistency with the times for completion of key performance indicator (KPI) activities has improved process flows, efficiencies, and the continuity of care by setting expectations for the patient and the nursing workforce. Expediting patient throughput has improved organizational operations by decreasing lengths of stay, maximizing bed capacity, minimizing obstetrical patients overflowing to less desirable locations, reducing nursing staff overtime, and improving financial performance while sustaining quality care. Throughput has gained significant attention in recent years in the emergency and clinic arenas. Little research exists on patient throughput in obstetrical care areas; however, one hospital's nursing workforce has innovatively demonstrated how many of these same principles can be applied to obstetrical areas to improve throughput. While a disparity in the practice setting exists, expediting obstetrical inpatient throughput yields many positive results.
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.titleFostering Nursing Workforce Innovation: Expediting OB Patient Throughput, Decreasing LOS, and Optimizing Hidden Bed Capacityen_GB
dc.contributor.authorAswell Terrell, Leahen_US
dc.author.detailsLeah Aswell Terrell, MSN, RNC-MNN, Nurse Manager, Woman's Hospital, Baton Rouge, Louisiana, USA, email: leah.terrell@womans.orgen_US
dc.identifier.urihttp://hdl.handle.net/10755/182354-
dc.description.abstractPoster presentation, ANCC National Magnet Conference: Capacity constraints strain hospital resources and adversely impact healthcare operations. Effective resource allocation and capacity management are contingent upon patient throughput and the nursing workforce's engagement in throughput initiatives. Engagement of the nursing workforce at a women's specialty hospital assisted with identifying the need for innovative changes to care for obstetrical patients within the physical restraints of the facility. The hospital contracted a management-engineering firm to assist with evaluating their current processes. Process mapping, time studies, and data analyses of the inpatient obstetrical areas revealed that peak obstetrical delivery and discharge times overlapped. Process mapping also unveiled that many activities took place on the day of discharge that could occur sooner during the hospital stay in order to improve efficiencies. Consistency with the times for completion of key performance indicator (KPI) activities has improved process flows, efficiencies, and the continuity of care by setting expectations for the patient and the nursing workforce. Expediting patient throughput has improved organizational operations by decreasing lengths of stay, maximizing bed capacity, minimizing obstetrical patients overflowing to less desirable locations, reducing nursing staff overtime, and improving financial performance while sustaining quality care. Throughput has gained significant attention in recent years in the emergency and clinic arenas. Little research exists on patient throughput in obstetrical care areas; however, one hospital's nursing workforce has innovatively demonstrated how many of these same principles can be applied to obstetrical areas to improve throughput. While a disparity in the practice setting exists, expediting obstetrical inpatient throughput yields many positive results.en_GB
dc.date.available2011-10-28T15:20:34Z-
dc.date.issued2011-10-28en_GB
dc.date.accessioned2011-10-28T15:20:34Z-
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.-
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.