Using an Old/New Educational Methodology Resulting in Quality of Practice and Patient Safety

2.50
Hdl Handle:
http://hdl.handle.net/10755/316860
Category:
Abstract
Type:
Presentation
Title:
Using an Old/New Educational Methodology Resulting in Quality of Practice and Patient Safety
Author(s):
Longo, M. Anne
Lead Author STTI Affiliation:
Omicron Omicron
Author Details:
M. Anne Longo, PhD, MBA, RN-BC, NEA-BC, email: Anne.Longo@cchmc.org
Abstract:

Session presented on: Saturday, April 5, 2014

The educational session provides the participant with the knowledge to plan a large scale educational program using a new twist on an old theory. The example is standardizing care in order to reduce variation in practice. Participants will be provided with step by step strategy using an instructional design model and complete their own example.

In 2007, the Center for Medicare/Medicaid chose to no longer pay for certain hospital acquired conditions (events of harm) including:  pressure ulcer stages III and IV; falls and trauma; surgical site infections; vascular-catheter associated infection;  and catheter-associated urinary tract infection.

For one hospital, 79% of FY 13 Events of Harm were a result of Catheter Associated Blood Stream Infections, Catheter Associated Urinary Tract Infection, Ventilator Associated Pneumonia, and Pressure Ulcers (all known as Prevention Standards).  Assessment of the situation included chart review, patient interview, staff interview, and direct observation revealing a variation in practices.

Based upon W. Edward Deming’s theories of continuous improvement, the Toyota job instruction method was used to design a class where both RNs/RTs validated their skill and knowledge of 4 events that can cause a patient serious harm. The 4 hour class included a rotation of 6 stations with trainer scripts, aids, equipment all insured each trainer provided a consistent message and each participant provided a return demonstration of the skill. Online pre-work was followed by support using the hospital’s online procedure manual.

Kirkpatrick’s level 4 evaluations were conducted to gauge the participants: reaction, learning, changes in behavior and if there were results in terms of the level of Never Events. The 3 domains of learning were assessed/evaluated via a pre/post knowledge survey, post observations of skill at the point of care, continued tracking of the events of harm, and the cost of the education.

Keywords:
standardized care; educational methodology; patient safety
Repository Posting Date:
13-May-2014
Date of Publication:
13-May-2014
Conference Date:
2014
Conference Name:
Nursing Education Research Conference 2014
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing; National League of Nursing
Conference Location:
Indianapolis, Indiana, USA
Description:
Nursing Education Research Conference 2014 Theme: Nursing Education Research, held in Hyatt Regency Indianapolis
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.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleUsing an Old/New Educational Methodology Resulting in Quality of Practice and Patient Safetyen_GB
dc.contributor.authorLongo, M. Anneen_GB
dc.contributor.departmentOmicron Omicronen_GB
dc.author.detailsM. Anne Longo, PhD, MBA, RN-BC, NEA-BC, email: Anne.Longo@cchmc.orgen_GB
dc.identifier.urihttp://hdl.handle.net/10755/316860-
dc.description.abstract<p>Session presented on: Saturday, April 5, 2014</p>The educational session provides the participant with the knowledge to plan a large scale educational program using a new twist on an old theory. The example is standardizing care in order to reduce variation in practice. Participants will be provided with step by step strategy using an instructional design model and complete their own example. <p>In 2007, the Center for Medicare/Medicaid chose to no longer pay for certain hospital acquired conditions (events of harm) including:  pressure ulcer stages III and IV; falls and trauma; surgical site infections; vascular-catheter associated infection;  and catheter-associated urinary tract infection. <p>For one hospital, 79% of FY 13 Events of Harm were a result of Catheter Associated Blood Stream Infections, Catheter Associated Urinary Tract Infection, Ventilator Associated Pneumonia, and Pressure Ulcers (all known as Prevention Standards).  Assessment of the situation included chart review, patient interview, staff interview, and direct observation revealing a variation in practices. <p>Based upon W. Edward Deming’s theories of continuous improvement, the Toyota job instruction method was used to design a class where both RNs/RTs validated their skill and knowledge of 4 events that can cause a patient serious harm. The 4 hour class included a rotation of 6 stations with trainer scripts, aids, equipment all insured each trainer provided a consistent message and each participant provided a return demonstration of the skill. Online pre-work was followed by support using the hospital’s online procedure manual. <p>Kirkpatrick’s level 4 evaluations were conducted to gauge the participants: reaction, learning, changes in behavior and if there were results in terms of the level of Never Events. The 3 domains of learning were assessed/evaluated via a pre/post knowledge survey, post observations of skill at the point of care, continued tracking of the events of harm, and the cost of the education.en_GB
dc.subjectstandardized careen_GB
dc.subjecteducational methodologyen_GB
dc.subjectpatient safetyen_GB
dc.date.available2014-05-13T16:44:10Z-
dc.date.issued2014-05-13-
dc.date.accessioned2014-05-13T16:44:10Z-
dc.conference.date2014en_GB
dc.conference.nameNursing Education Research Conference 2014en_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.hostNational League of Nursingen_GB
dc.conference.locationIndianapolis, Indiana, USAen_GB
dc.descriptionNursing Education Research Conference 2014 Theme: Nursing Education Research, held in Hyatt Regency Indianapolisen_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. 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 articleen_GB
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