2.50
Hdl Handle:
http://hdl.handle.net/10755/182872
Category:
Abstract
Type:
Presentation
Title:
Best Practices for Making and Sustaining Clinical Improvements in Patient Outcomes
Author(s):
Mroz, Ingrid
Author Details:
Ingrid Mroz, RN, MSN, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire, USA, email: Ingrid.Mroz@hitchcock.org
Abstract:
Concurrent Podium Presentation: Background: One challenging aspect of making and sustaining clinical improvement involves the complexity of practice environments and the acuity of patient care. Methods: Nursing and medical leadership identified opportunities to ensure that all adult critical care patients would consistently receive evidence-based prevention measures for conditions such as deep vein thrombosis prophylaxis, gastrointestinal ulcers, ventilator-associated pneumonia, catheter related blood stream infections, and a variety of other complications associated with critical illness and hospitalization. Working in collaborative teams, clinical leadership implemented ten minute "warm-ups" known locally as "Did you know or remember" during shift reports to help nursing staff understand the evidence-base for their practice and emphasized their importance in preventing complications. Nurses contributed to the development of a structured, multidisciplinary progress note to ensure that indicated medical interventions were reviewed, updated daily, and implemented. Outcomes: Making care expectations highly visible through the multidisciplinary progress note and providing nursing staff with "just in time" education and frequent reminders during shift reports helped everyone integrate improvements in providing daily care. Making process/outcome data visible and emphasizing the importance of the team's efforts in care improvements helped all clinicians focus on doing the right thing for patients. Implications for Practice: Clinicians must truly work as a team to achieve desired patient care outcomes. Finding strategies to make progress toward goals transparent to the entire team supports the discussions required to leverage a team's ability to sustain those improvements. In complex clinical environments nurses play an instrumental partnership role in leading and implementing key interventions.
Repository Posting Date:
28-Oct-2011
Date of Publication:
28-Oct-2011
Conference Date:
2007
Conference Name:
ANCC National Magnet Conference
Conference Host:
American Nurses Credentialing Center
Conference Location:
Atlanta, Georgia, USA
Description:
"Connect, Empower and Celebrate" was the theme of the 11th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 3-5 October, 2007 at the Georgia World Congress Center in Atlanta, Georgia, 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.titleBest Practices for Making and Sustaining Clinical Improvements in Patient Outcomesen_GB
dc.contributor.authorMroz, Ingriden_US
dc.author.detailsIngrid Mroz, RN, MSN, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire, USA, email: Ingrid.Mroz@hitchcock.orgen_US
dc.identifier.urihttp://hdl.handle.net/10755/182872-
dc.description.abstractConcurrent Podium Presentation: Background: One challenging aspect of making and sustaining clinical improvement involves the complexity of practice environments and the acuity of patient care. Methods: Nursing and medical leadership identified opportunities to ensure that all adult critical care patients would consistently receive evidence-based prevention measures for conditions such as deep vein thrombosis prophylaxis, gastrointestinal ulcers, ventilator-associated pneumonia, catheter related blood stream infections, and a variety of other complications associated with critical illness and hospitalization. Working in collaborative teams, clinical leadership implemented ten minute "warm-ups" known locally as "Did you know or remember" during shift reports to help nursing staff understand the evidence-base for their practice and emphasized their importance in preventing complications. Nurses contributed to the development of a structured, multidisciplinary progress note to ensure that indicated medical interventions were reviewed, updated daily, and implemented. Outcomes: Making care expectations highly visible through the multidisciplinary progress note and providing nursing staff with "just in time" education and frequent reminders during shift reports helped everyone integrate improvements in providing daily care. Making process/outcome data visible and emphasizing the importance of the team's efforts in care improvements helped all clinicians focus on doing the right thing for patients. Implications for Practice: Clinicians must truly work as a team to achieve desired patient care outcomes. Finding strategies to make progress toward goals transparent to the entire team supports the discussions required to leverage a team's ability to sustain those improvements. In complex clinical environments nurses play an instrumental partnership role in leading and implementing key interventions.en_GB
dc.date.available2011-10-28T15:43:53Z-
dc.date.issued2011-10-28en_GB
dc.date.accessioned2011-10-28T15:43:53Z-
dc.conference.date2007en_US
dc.conference.nameANCC National Magnet Conferenceen_US
dc.conference.hostAmerican Nurses Credentialing Centeren_US
dc.conference.locationAtlanta, Georgia, USAen_US
dc.description"Connect, Empower and Celebrate" was the theme of the 11th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 3-5 October, 2007 at the Georgia World Congress Center in Atlanta, Georgia, 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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