2.50
Hdl Handle:
http://hdl.handle.net/10755/308148
Category:
Abstract
Type:
Presentation
Title:
Clinical Applications of the Four Perinatal Quality Initiaitves
Author(s):
Heale, Patricia A.
Lead Author STTI Affiliation:
Omicron Delta
Author Details:
Patricia A. Heale, RN, DNP, patti@heale.com
Abstract:

Session presented on: Tuesday, November 19, 2013

he Institute for Healthcare Improvement’s Perinatal Improvement Community (IHIPIC) provides results-focused quality improvement support to hospital teams. Participants start with in-depth diagnostic and goal-setting processes to assess areas for improvement. The hospital then identified areas for improvement based on the clinical Microsystems assessment. The hospital targeted three areas for focused improvement: oxytocin, hemorrhage, and communication. Teams engaged in rapid testing of changes (Plan-Do-Study-Act cycle) that were shown to improve care, adapted them to their own settings, and then measured the outcomes.  Four improvement projects were identified: development of an oxytocin and hemorrhage protocols and implementation of Safety Rounds and Shift Huddle.

One of the improvement projects was to implement an Oxytocin Protocol including a revised Oxytocin Policy and Procedure and Pre-Use and In-Use Checklists. The Oxytocin Deep Dive was an in-depth chart review to obtain information on the current use of oxytocin in the institution. Using this information the institution developed and implemented the new Policy and Procedure and the Checklists. Preliminary results have shown a decrease in hours in labor for both primiparous and multiparous women, tachysystole and a slight decrease in the C/S rate. Hemorrhage Protocols and Algorithms have been well-researched and when implemented, clearly show an improvement in time to hemorrhage recognition and rescue improving maternal and neonatal outcomes as evidenced by a decrease in blood transfusions. Safety Rounds provides the opportunity for nurses, physicians and case managers to gather together and review patient data in order to develop multidisciplinary care plans for complex patients and improving communication and relationships between specialties. The Shift Huddles provide an opportunity for staff to hear report on each patient, improving care by imparting patient information to nursing staff. Staff members can ask questions about patients and offer suggestions to their colleagues related to patient care.

Keywords:
Hemorrhage; PDSA; Oxytocin
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.titleClinical Applications of the Four Perinatal Quality Initiaitvesen_GB
dc.contributor.authorHeale, Patricia A.en_GB
dc.contributor.departmentOmicron Deltaen_GB
dc.author.detailsPatricia A. Heale, RN, DNP, patti@heale.comen_GB
dc.identifier.urihttp://hdl.handle.net/10755/308148-
dc.description.abstract<p>Session presented on: Tuesday, November 19, 2013</p>he Institute for Healthcare Improvement’s Perinatal Improvement Community (IHIPIC) provides results-focused quality improvement support to hospital teams. Participants start with in-depth diagnostic and goal-setting processes to assess areas for improvement. The hospital then identified areas for improvement based on the clinical Microsystems assessment. The hospital targeted three areas for focused improvement: oxytocin, hemorrhage, and communication. Teams engaged in rapid testing of changes (Plan-Do-Study-Act cycle) that were shown to improve care, adapted them to their own settings, and then measured the outcomes.  Four improvement projects were identified: development of an oxytocin and hemorrhage protocols and implementation of Safety Rounds and Shift Huddle. <p>One of the improvement projects was to implement an Oxytocin Protocol including a revised Oxytocin Policy and Procedure and Pre-Use and In-Use Checklists. The Oxytocin Deep Dive was an in-depth chart review to obtain information on the current use of oxytocin in the institution. Using this information the institution developed and implemented the new Policy and Procedure and the Checklists. Preliminary results have shown a decrease in hours in labor for both primiparous and multiparous women, tachysystole and a slight decrease in the C/S rate. Hemorrhage Protocols and Algorithms have been well-researched and when implemented, clearly show an improvement in time to hemorrhage recognition and rescue improving maternal and neonatal outcomes as evidenced by a decrease in blood transfusions. Safety Rounds provides the opportunity for nurses, physicians and case managers to gather together and review patient data in order to develop multidisciplinary care plans for complex patients and improving communication and relationships between specialties. The Shift Huddles provide an opportunity for staff to hear report on each patient, improving care by imparting patient information to nursing staff. Staff members can ask questions about patients and offer suggestions to their colleagues related to patient care.en_GB
dc.subjectHemorrhageen_GB
dc.subjectPDSAen_GB
dc.subjectOxytocinen_GB
dc.date.available2013-12-19T17:27:31Z-
dc.date.issued2013-12-19-
dc.date.accessioned2013-12-19T17:27:31Z-
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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