2.50
Hdl Handle:
http://hdl.handle.net/10755/198339
Title:
Utilizing Change Management to Successfully Implement Immediate Bedding
Abstract:
[ENA Annual Conference 2011 - Evidence-based Practice Presentation]Utilizing Change Management to Successfully Implement Immediate Bedding

Purpose: Inefficiencies have been observed regarding patient flow in the emergency department. A focus group was initiated to study flow and recommendations for change were made. In order to promote a successful change in practice, Kotter’s change theory was utilized to implement “Immediate Bedding”. This process was re-evaluated and duplicated for future change in the department.

Design: Quality assurance project.

Setting: Urban Level I Academic Medical Center.

Participants/Subjects: The multidisciplinary team of nurses, techs, physicians, ancillary and registration staff in the Emergency Department.

Methods: Following many patient flow process studies in the Emergency Department there were many opportunities for improvement identified. Following identification and sharing of the information, a focus group was established in the emergency department to focus on patient flow. This focus group is chaired by staff nurse and staff physician. It also consists of a representative sample of the bedside team; registration, resident, mid level provider and ED Tech. The first project that the group looked at was strategies to lower the departments left without being seen rate (previous year left without being seen rate was greater than 9%). Our discussions included a review of the literature, results of site visits to other hospitals, other hospitals successes and failures, and potential implementation flow charts to enact different processed to affect the patient flow. The team decided that immediate bedding would be implemented in the Emergency Department. Implementation quickly began utilizing Kotter’s Change Theory. Kotters Change Theory allowed organized planning for the change with outlined interventions and next steps. With this change the ED was able to improve many metrics regarding patient flow and also helped to plan for future change endeavors.

Results/Outcomes: Initial findings of the implementation of the immediate bedding change process shows that the change was a positive impact on patient flow, staff satisfaction and patient satisfaction. This has been determined through flow metrics, staff survey and patient survey. Initial findings show a decrease in the left without being seen rate by over 20% from last year. In addition the length of stay was reduced our by over 30 minutes overall for both treated and discharged and treated and admitted.

Implications: Transforming theory to practice is difficult at times but proper education engages the bedside staff to proper change management. Utilizing Kotter’s change theory allowed the change to happen in an orderly fashion in the ED. It provided a basic framework for the change. Utilizing the theory also had other advantages such as re-evaluation of the change. This process could be replicated with other change management projects.

Repository Posting Date:
21-Dec-2011
Date of Publication:
21-Dec-2011

Full metadata record

DC FieldValue Language
dc.titleUtilizing Change Management to Successfully Implement Immediate Beddingen_GB
dc.identifier.urihttp://hdl.handle.net/10755/198339-
dc.description.abstract[ENA Annual Conference 2011 - Evidence-based Practice Presentation]Utilizing Change Management to Successfully Implement Immediate Bedding<br/><br/>Purpose: Inefficiencies have been observed regarding patient flow in the emergency department. A focus group was initiated to study flow and recommendations for change were made. In order to promote a successful change in practice, Kotter’s change theory was utilized to implement “Immediate Bedding”. This process was re-evaluated and duplicated for future change in the department. <br/><br/>Design: Quality assurance project.<br/><br/>Setting: Urban Level I Academic Medical Center.<br/><br/>Participants/Subjects: The multidisciplinary team of nurses, techs, physicians, ancillary and registration staff in the Emergency Department. <br/><br/>Methods: Following many patient flow process studies in the Emergency Department there were many opportunities for improvement identified. Following identification and sharing of the information, a focus group was established in the emergency department to focus on patient flow. This focus group is chaired by staff nurse and staff physician. It also consists of a representative sample of the bedside team; registration, resident, mid level provider and ED Tech. The first project that the group looked at was strategies to lower the departments left without being seen rate (previous year left without being seen rate was greater than 9%). Our discussions included a review of the literature, results of site visits to other hospitals, other hospitals successes and failures, and potential implementation flow charts to enact different processed to affect the patient flow. The team decided that immediate bedding would be implemented in the Emergency Department. Implementation quickly began utilizing Kotter’s Change Theory. Kotters Change Theory allowed organized planning for the change with outlined interventions and next steps. With this change the ED was able to improve many metrics regarding patient flow and also helped to plan for future change endeavors. <br/><br/>Results/Outcomes: Initial findings of the implementation of the immediate bedding change process shows that the change was a positive impact on patient flow, staff satisfaction and patient satisfaction. This has been determined through flow metrics, staff survey and patient survey. Initial findings show a decrease in the left without being seen rate by over 20% from last year. In addition the length of stay was reduced our by over 30 minutes overall for both treated and discharged and treated and admitted. <br/><br/>Implications: Transforming theory to practice is difficult at times but proper education engages the bedside staff to proper change management. Utilizing Kotter’s change theory allowed the change to happen in an orderly fashion in the ED. It provided a basic framework for the change. Utilizing the theory also had other advantages such as re-evaluation of the change. This process could be replicated with other change management projects. <br/> <br/>en_GB
dc.date.available2011-12-21T12:46:20Z-
dc.date.issued2011-12-21T12:46:20Z-
dc.date.accessioned2011-12-21T12:46:20Z-
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