2.50
Hdl Handle:
http://hdl.handle.net/10755/182482
Category:
Abstract
Type:
Presentation
Title:
Flow and Fish Bones: Visualizing Changes in Practice
Author(s):
Forthofer, Patti
Author Details:
Patti Forthofer, MSN, RN, SANE-A, The Medical Center of Aurora, Aurora, Colorado, USA, email: patti.forthofer@healthonecares.com
Abstract:
Nurses practice standards of care daily and know they are providing best care for their patients. However, they have a hard time articulating how and why certain standards were developed and what approach they should take to analyze sentinel events and develop actions to prevent future adverse events. This presentation illustrates how one facility utilizes two visual methods: Flow Diagram and Fish Bone Diagram to assist nursing staff to understand and develop standards of practice and initiating change in practice. Flow Diagram - Process for developing standards of practice Change is a complex process that must be managed carefully. The ideas for change may be triggered by many events such as: Sentinel Events, Nursing/MD Peer Review Committee, Adverse Medical Event, suggestions from staff, patient, family, MD, and New Standard of Practice or regulation (e.g. NPSG). Nurses need a visual representation to guide them through the process of identifying triggers that bring about changes in standards, reviewing evidence and literature, developing research methodology if necessary, reviewing/revising existing standards or developing new standards and policies, and Measuring success of change, evaluating patient outcomes Fish Bones Process of integrated analysis that resulted in a change in practice The fishbone diagram is a tool that is used to organize nurses thinking, guide them through the analysis of events, identify root causes and develop action plans to prevent future adverse events. Typically, the triggers that stimulate analysis are Sentinel Events, Never Events and Occurrences. The Integrated Analysis may include Human Resources, Clinical Outcomes, P&Ps, and Financial.
Repository Posting Date:
28-Oct-2011
Date of Publication:
28-Oct-2011
Conference Date:
2009
Conference Name:
ANCC National Magnet Conference
Conference Host:
American Nurses Credentialing Center
Conference Location:
Louisville, Kentucky, USA
Description:
"Magnet: Inspiring Innovation, Achieving Outcomes" was the theme and "Explore the relationship among leadership, innovation, and nursing practice outcomes" was the goal of the 13th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 1-3 October, 2009 in Louisville, Kentucky, 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.titleFlow and Fish Bones: Visualizing Changes in Practiceen_GB
dc.contributor.authorForthofer, Pattien_US
dc.author.detailsPatti Forthofer, MSN, RN, SANE-A, The Medical Center of Aurora, Aurora, Colorado, USA, email: patti.forthofer@healthonecares.comen_US
dc.identifier.urihttp://hdl.handle.net/10755/182482-
dc.description.abstractNurses practice standards of care daily and know they are providing best care for their patients. However, they have a hard time articulating how and why certain standards were developed and what approach they should take to analyze sentinel events and develop actions to prevent future adverse events. This presentation illustrates how one facility utilizes two visual methods: Flow Diagram and Fish Bone Diagram to assist nursing staff to understand and develop standards of practice and initiating change in practice. Flow Diagram - Process for developing standards of practice Change is a complex process that must be managed carefully. The ideas for change may be triggered by many events such as: Sentinel Events, Nursing/MD Peer Review Committee, Adverse Medical Event, suggestions from staff, patient, family, MD, and New Standard of Practice or regulation (e.g. NPSG). Nurses need a visual representation to guide them through the process of identifying triggers that bring about changes in standards, reviewing evidence and literature, developing research methodology if necessary, reviewing/revising existing standards or developing new standards and policies, and Measuring success of change, evaluating patient outcomes Fish Bones Process of integrated analysis that resulted in a change in practice The fishbone diagram is a tool that is used to organize nurses thinking, guide them through the analysis of events, identify root causes and develop action plans to prevent future adverse events. Typically, the triggers that stimulate analysis are Sentinel Events, Never Events and Occurrences. The Integrated Analysis may include Human Resources, Clinical Outcomes, P&Ps, and Financial.en_GB
dc.date.available2011-10-28T15:26:12Z-
dc.date.issued2011-10-28en_GB
dc.date.accessioned2011-10-28T15:26:12Z-
dc.conference.date2009en_US
dc.conference.nameANCC National Magnet Conferenceen_US
dc.conference.hostAmerican Nurses Credentialing Centeren_US
dc.conference.locationLouisville, Kentucky, USAen_US
dc.description"Magnet: Inspiring Innovation, Achieving Outcomes" was the theme and "Explore the relationship among leadership, innovation, and nursing practice outcomes" was the goal of the 13th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 1-3 October, 2009 in Louisville, Kentucky, 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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