National Network Study of Operational Failures in Frontline Nursing: Scaling Up for Policy

2.50
Hdl Handle:
http://hdl.handle.net/10755/308037
Category:
Abstract
Type:
Presentation
Title:
National Network Study of Operational Failures in Frontline Nursing: Scaling Up for Policy
Author(s):
Stevens, Kathleen R.; Ferrer, Robert; Puga, Frank; Patel, Darpan I.
Lead Author STTI Affiliation:
Non-member
Author Details:
Kathleen R. Stevens, RN, MS, EdD, ANEF, FAAN, stevensk@uthscsa.edu; Robert Ferrer, MD, MPH; Frank Puga, PhD; Darpan I. Patel, PhD
Abstract:

Session presented on: Tuesday, November 19, 2013

Purpose: Nurses are aligned to drive frontline policy in quality improvement.  Yet studies often lack rigor and sample sizes large enough to be definitive.  While smaller studies show that frontline operational failures occur every hour of every shift and threaten patient safety, multi-setting studies are requisite in order to craft effective microsystems interventions.  Such interventions will foster learning organization climates through decreasing workarounds and making system corrections.   

Methods:  To broaden generalizability, a local pilot study of microsystem operational failures was expanded to 42 medical-surgical units through a new national improvement research network. Network members formed a virtual research collaborative, supported by the network coordinating center and virtual laboratory. Team science principles were employed to create a common goal around a rigorous study and strong team relations. The virtual collaboratory venue provided central databases, assured fidelity of the protocol through a specialized implementation kit and site monitoring, and supported research capacity-building.

Results: Within 9 months, the 14-hospital research team was formed, research protocol deployed, fidelity maintained, and 16,000 data points collected and analyzed.  Analysis of two study sites revealed that out of 2683 reported operational failures, 28% were related to equipment/supplies failures (n=751), 19% related to medication (n=507), 15.8% related to information/communication failures (n=425), 15.3% related to staffing/training failures (n=411) and 4.4% related to physical unit layout (n=117). 17.6% of failures were recorded within the “Other” category (n=472).

Conclusions:  Research network concepts were successfully applied in a national network to investigate healthcare delivery improvement, providing a wide and generalizable base for scale up and spread.  The cyberinfrastructure, networking processes, and approaches achieved research capable of producing evidence sufficient to drive policy.

Keywords:
Research Agenda; Research Network; Quality Improvement
Repository Posting Date:
19-Dec-2013
Date of Publication:
19-Dec-2013
Conference Date:
2013
Conference Name:
42nd Biennial Convention
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Indianapolis, Indiana, USA
Description:
42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriott
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.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleNational Network Study of Operational Failures in Frontline Nursing: Scaling Up for Policyen_GB
dc.contributor.authorStevens, Kathleen R.en_GB
dc.contributor.authorFerrer, Roberten_GB
dc.contributor.authorPuga, Franken_GB
dc.contributor.authorPatel, Darpan I.en_GB
dc.contributor.departmentNon-memberen_GB
dc.author.detailsKathleen R. Stevens, RN, MS, EdD, ANEF, FAAN, stevensk@uthscsa.edu; Robert Ferrer, MD, MPH; Frank Puga, PhD; Darpan I. Patel, PhDen_GB
dc.identifier.urihttp://hdl.handle.net/10755/308037-
dc.description.abstract<p>Session presented on: Tuesday, November 19, 2013</p><b>Purpose:</b> Nurses are aligned to drive frontline policy in quality improvement.  Yet studies often lack rigor and sample sizes large enough to be definitive.  While smaller studies show that frontline operational failures occur every hour of every shift and threaten patient safety, multi-setting studies are requisite in order to craft effective microsystems interventions.  Such interventions will foster learning organization climates through decreasing workarounds and making system corrections.    <p><b>Methods</b>:  To broaden generalizability, a local pilot study of microsystem operational failures was expanded to 42 medical-surgical units through a new national improvement research network. Network members formed a virtual research collaborative, supported by the network coordinating center and virtual laboratory. Team science principles were employed to create a common goal around a rigorous study and strong team relations. The virtual collaboratory venue provided central databases, assured fidelity of the protocol through a specialized implementation kit and site monitoring, and supported research capacity-building. <p><b>Results</b>: Within 9 months, the 14-hospital research team was formed, research protocol deployed, fidelity maintained, and 16,000 data points collected and analyzed.  Analysis of two study sites revealed that out of 2683 reported operational failures, 28% were related to equipment/supplies failures (n=751), 19% related to medication (n=507), 15.8% related to information/communication failures (n=425), 15.3% related to staffing/training failures (n=411) and 4.4% related to physical unit layout (n=117). 17.6% of failures were recorded within the “Other” category (n=472). <p><b>Conclusions: </b> Research network concepts were successfully applied in a national network to investigate healthcare delivery improvement, providing a wide and generalizable base for scale up and spread.  The cyberinfrastructure, networking processes, and approaches achieved research capable of producing evidence sufficient to drive policy.en_GB
dc.subjectResearch Agendaen_GB
dc.subjectResearch Networken_GB
dc.subjectQuality Improvementen_GB
dc.date.available2013-12-19T17:26:02Z-
dc.date.issued2013-12-19-
dc.date.accessioned2013-12-19T17:26:02Z-
dc.conference.date2013en_GB
dc.conference.name42nd Biennial Conventionen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationIndianapolis, Indiana, USAen_GB
dc.description42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriotten_GB
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.en_GB
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