...Purposeful Hourly Rounding project in detail by giving a timeline of each phase of the project. • Present PowerPoint on Purposeful Hourly Rounding to both Clinical Manager and Director of Nursing and take feedback and modify presentation prior to meeting with nursing staff • Review the audit tool with the Clinical Manager prior to having champions begin audits on the unit of nursing staff preforming hourly rounding • Review HCAHPS scores with clinical manager...
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...Data Management and Analysis Analysis the report, it is clear seen that the Data management and analysis methods used is a quantitative comparative descriptive design. Ford, B. (2010) took very careful steps to maintain the rigor and control of their data collection. The author used a statistic software design. She developed her idea into two representative graphs in which she compared call light usage before initiation of hourly rounding, and call light usage after the initiation of hourly rounding. With is in compliance with the objective described by the hypotheses developed in this study. Hourly rounding improves patient satisfactory score. Narrative descriptive also uses to confirm their finding. For a pilot study, one thinks that the sample size was adequate. A sample made of 51 patients, 29 females, 22 males a long with a randomly selected control group is used for that study. Although the researcher did not explain how the data were entered into the computer one assume that it was entered to promote accuracy and to reduce the possibility and effect of bias. In summary this pilot study shows that Ford, B. (2010) provide evidence to suggest that hourly rounding increase patient outcome with is benefited to nursing practice. The author took time to focus on the significant problem, she explains how the data was collected, and the diagram shows the percentage of error and the frequency of the variable. The study’s strengths and weakness is clearly defined. The author stated...
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...QI Plan Part I Nia Coerbell HCS 588 January 27, 2015 Professor Horton According to a recent survey, the quality of service of Davis Health Care needs improvement. Research suggests that patient safety measures like hourly rounding by nursing personnel positively impacts patient fall rates, call light usage and overall patient satisfaction (Olrich et al., 2012, p. 25). Patients are likely to recover and thrive in an environment where they know that they are being acknowledged, monitored and their concerns are being addressed. Health care facilities that have instituted hourly rounding, where nursing staff (e.g. registered nurses, licensed practical/vocational nurses and nurse aides) check in on the patients and inquire of the needs of patients on an hourly basis, have been faced with barriers prior to implementation. Many of the nursing staff would reluctant toward the idea of practicing hourly rounds as this is often perceived as time-consuming strategy. However, if we institute hourly rounding at Davis Health Care, we will notice remarkable improvement in our next survey scores. The Model for Evidence-Based Practice Change by Rosswurm and Larrabee (1999) suggests that the initial step is to search for where there is a need for change in the clinical setting. Once an improvement team (consisting of unit managers, nurse researchers, quality improvement nurses, a statistician, etc.) forms, we find ways to identify an improvement goal. Unstructured brainstorming allows the...
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...In evaluation hourly rounding, the specific data analysis method utilized was the mean. The mean number of falls pre-implementation to the mean number of falls post implementation was compared to determine if there was an improvement after the hourly rounding project was initiated. The mean was also utilized to compare HCAHPS survey scores to determine if an improvement occurred in the two specific domains, responsiveness of staff and communication with nurses. HCAHPS survey scores were compared pre-implementation to post-implementation scores to determine whether or not the mean post-implementation had increased. Notably, the clinical manager and the student nurse spent a great deal of time throughout both the implementation and post-implementation...
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...is scheduled to help ease the patient during the post-surgical time frame. One of the side effects of anesthesia exiting the body is nausea and vomiting which can make the patient feel dizzy and lightheaded, thus making them a great risk for falls. This has been the reason that the topic was chosen; to attempt to improve this issue in the hospital setting and to provide a system in which all hospital staff collaborate to help increase the quality of patient care. The location that is being observed is the post-surgical/orthopedic floor where the author is currently working. A description of risks and concerns are provided and patient outcomes depend on implementing the proposed interventions. The two solutions that are presented are hourly rounding and the importance of an improved nurse call light button and education on proper usage. Each intervention is supported by evidence-based practice peer-reviewed journal articles. The proposal will show the improvements of patient safety and increased patient compliance to hospital staff, physicians, and administration. A power point presentation that will be presented on Appendix B will also be used to highlight key points of the proposal. Another tool that will be used is...
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...been executed to assess practice and procedures that will improve patient satisfaction and patient safety. Nursing leadership and bedside nursing staff play a pivotal role in transforming bedside nursing. A critical appraisal was conducted in Australia by Gardner, Woollett, Daly, & Richardson, (2009) on measuring the effect of patient comfort rounds on practice environment and patient satisfaction: a pilot study. This research aimed to test the effect of a model of practice that enhanced the role of the assistant-in-nursing (AIN) on a skill mixed unit (Gardner et al, 2009). Gardner et al, 2009 adopted a quasi-experimental pilot study using a non-randomized parallel group trial design. The purpose of this paper is to identify if hourly rounding will upturn patient safety and satisfaction during their hospitalization. Protection of Human Participants. The authors of this study did not disclose any risk related to the study, however, one main benefit is this is a pilot study assessing techniques and tools for a larger study in the future. The piolet was regulated over an eight week span within a matched surgical unit including an experimental and control group. The intervention unit includes a sample of 61 consenting patients and 23 consenting nurses; while the control unit consists of 68 consenting patients and 16 consenting nurses (Gardner et al, 2009). Amid the admission of patients they were offered information on the pilot study along with consent packages administered...
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...A Critique of the Literature Effects of Nursing Rounds: on patients’ Call Light Use, Satisfaction and Safety. Introduction: The findings of this article will critically review the methods of research, population, systems and data used to obtain results regarding this study. This evaluation of the outcome would determine whether or not there was a need to change the nursing management of patient care. The study would determine if patients were happy with their care and if the rate of falls were minimised. In the health care setting, the call light is an important communication tool for the nursing staff and patients especially in an emergency situation. Title: The title clearly summarises the content of this Journal article which suggests there was either a qualitative or quantitative designed research data used to conclude the findings. There was limited context which was not clearly defined (Meade et al.2006, p 58). Abstract: This is succinct, meaning the writer has been brief and precise with the back ground information about the research article. This...
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...Organizational Systems and Quality Leadership Organizational Systems and Quality Leadership Task 1 A. Nursing Sensitive Indicators Nurses are integral key players in multidisciplinary teams caring for patients in complex healthcare systems. Hospitals, a primary care delivery portal within the health system, are inundated with patients requiring higher acuity care. Nurses must be prepared to recognize patients’ health care needs and provide quality patient care outcomes. The knowledge of nursing sensitive indicators can be helpful in providing the care which meets quality standards. Nursing sensitive indicators rely on evidence-based practice. The American Nurses Association created a repository for implementing, developing, and storing nursing sensitive indicators in the National Database of Nursing Quality Indicators, or NDNQI. The nursing sensitive indicators are a set of standardized performance measures intended to help hospitals assess the extent to which nursing interventions have an impact on patient safety, quality, and the professional work environment (Erickson, J. 2011). Nurses directly impact these measures and when evidence-based practices are adopted, patient care improves as shown in historical outcomes data. In the scenario of Mr. J there were multiple failures to recognize and use nursing procedural sensitive measures to improve his safety, quality of care, and patient satisfaction. Although Mr. J had mild dementia, he was appropriately responsive...
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...COMMUNITY HOSPITAL averaged 80.415 % compliance. Audit | Audit Period | Location | Compliance % | Pain Reassessment | 12 Months | ED | 54.83% | Pain Reassessment | 12 Months | 3E | 92.916% | Pain Reassessment | 12 Months | PACU | 93.5% | The following are the results of the audit that was completed for use of prohibited abbreviations in an aggregate of ICU, Telemetry, 3E and 4E over a 12 month period: Audit | Audit Period | Abbreviation | Occurrences per 50 opportunities | Prohibited Abbreviations | 12 Months | “cc” | 33.75 | Prohibited Abbreviations | 12 Months | “qd” | 15.916 | Fire Dill History of drills held once per shift per quarter over a 12 month period: Quarter | Shift 1 | Shift 2 | Shift 3 | Compliance Analysis | 1st (Jan-Mar) | √ | √ | | No Fire drills on the 3rd shift | 2nd (Apr-Jun) | √ | √ | √ | 100% | 3rd (Jul-Sept) | √ | √ | | No Fire drills on the 3rd shift | 4th (Oct-Dec) | √ | | √ | No Fire drills on the 2nd shift | Below are the results from audit that was completed for verbal orders authenticated within 48 hours over a 12 month period (monthly and quarterly) for NIGHTINGALE COMMUNITY HOSPITAL:...
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...Analysis of Leaders in Innovation Leading Innovation in the Global Organization Dr. Jane Gibson Capella University Timyra L. Carter November 10, 2015 Introduction A global trend is a general development or change in a situation that affects many countries of the world. Innovation is a creative idea, process or product. The two together are a powerful team. Without one or the other a company is likely to fail. Global trends provides direction for a company and affects the company’s strategic plans for the future goals. The purpose of this paper is to analyze and identify the global trends that influenced the need for Vineet Nayar, former CEO of HCL Technology, to create a more innovative organization, explain the relationship between the global trends and Nayar’s role as a leader of innovation, evaluate Nayar’s use of the five discovery skills and make recommendations for improvement of Nayar’s use of the five discovery skills. When Nayer was appointed as president of the Delhi-based IT services provider HCL Technologies he had many challenges. Even though HCL Technologies revenue was growing by 30% a year, it was losing market share and mindshare and its competitors were growing at the rate of 40% or 50% a year (Nayar, 2010). The IT service industry was changing rapidly, customers didn’t want to work with an undifferentiated service provider that offered discrete service; they wanted long term partners that would provide end to end services (Nayer, 2010). Within four years Nayar...
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...How Virginia Mason Was Saved. PSA System Improves Patient Safety Virginia Mason used VMPS to develop a Patient Safety Alert (PSA) system. It requires all staff that encounter a situation likely to harm a patient to make an immediate report and cease any activity that could cause further harm. If the safety of a patient is indeed at risk, an investigation is immediately launched to correct the problem. Patient safety at Virginia Mason has increased and professional liability claims have dropped. One-Stop Care for Patients with Cancer Using VMPS, the Floyd & Delores Jones Cancer Institute at Virginia Mason was redesigned with a laboratory and pharmacy inside, eliminating the need for patients to travel throughout the hospital for chemotherapy. Now all cancer services are brought directly to the patient in his or her private treatment room. For each patient, this reduced the length of a chemotherapy visit from 10 hours to two hours and saved about 500 feet of walking at each visit. Getting Back to Nursing In most hospitals, nurses spend about 35 percent of their time in direct patient care. With VMPS, VM nursing teams increased that time to 90 percent. Instead of caring for patients throughout a unit, nurses work as a team with a patient-care technician in "cells" — groups of rooms located near each other. The cell model allows nurses to monitor patients and quickly attend to their needs. Also, the most commonly used supplies for each unit were moved to patient rooms so...
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...Logistics Week 7 Lab Lab 7: Minnetonka Warehouse Scenario/Summary Wayne Schuller managed a warehouse in Minnetonka, Minnesota. His major concern was the number of workers to assign to his single unloading dock. After he began contracting with motor carriers for deliveries, he found that they were assessing him stiff penalties if their trucks had wait time to be unloaded. Wayne started adding larger crews at the unloading dock, but often, they seemed idle because there were no trucks to unload. Wayne recalled from college that queuing theory might be applicable to such a problem. The theory of queuing is an analysis of the probabilities associated with waiting in line, assuming that orders, customers, and so on arrive in some pattern (often a random pattern) to stand in line. A common situation is that on the average, a facility may have excess capacity, but oftentimes, it is more than full, with a backlog of work to be done. Often, this backlog has costs associated with it, including penalties to be paid or customers who walk away rather than wait. If a firm expands its capacity to reduce waiting times, then its costs go up and must be paid even when the facility is idle. Queuing theory is used to find the best level of capacity, the one that minimizes the costs of providing a service and the costs of those waiting to use the service. After some further research specific to his firm, Wayne determined the following facts: Trucks arrive randomly at the average rate...
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...STATISTICAL ANALYSIS OF TRAFFIC VOLUME IN DAVAO CITY FOR A PERIOD OF FIVE YEARS (2007-2011) Reyna Lea C. Rosales Course: Master of Science in Criminology Research Paper In MC 209 Professor: Dr. William A. Revisa TABLE OF CONTENTS I. Introduction ……………………………………………………………………………..3 II. Discussion A. Traffic Volume Data Collection…………………………………………………...4 B. Objectives of the Traffic Volume Monitoring Program ……………………..5 C. Uses for Traffic Volume Data …………………………………………………….5 D. Ways of conducting Traffic Survey / Methods of Traffic Volume Study……………………………………………...7 E. Importance of Traffic Volume Study …………………………………………..11 F. GLOBAL …………………………………………………………………………….12 G. NATIONAL ………………………………………………………………………….16 H. LOCAL ………………………………………………………………………………17 Table 1 ……………………………………………………………………………...19 I. Data Analysis ……………………………………………………………………….19 III. Conclusion …………………………………………………………………………...20 References ……………………………………………………………………………..21 I. INTRODUCTION Traffic volume studies are taken to determine the number of movements and classifications of vehicles in a specific location. This information can help classify significant flow time periods and determine the influence of large vehicles and/or pedestrians. The time period in which these traffic volumes are calculated will vary depending on what data that is being collected and what its purpose is. Traffic counts are reported as the number of vehicles expected to pass a given location on an average...
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...Advance Professional Roles and Values Project Falls Keri Cochran October 20, 2014 Western Governor’s University The problem and explanation: The hospital I am employed at is currently having an issues with patient falls. The hospital is a “no restraint facility” and strongly discourages the use of any form of restraint including leather, soft, posey vests, or chemical. Currently the line of defense is using staff sitters, moving the patient to a visible room when available and or family members are encouraged to come and stay with their loved ones who are at high risk of falls. This does not always rectify the issues secondary to staffing issues and family participation. The facility has had two critical falls this year, one ending in a patient breaking a hip and the other a death secondary to hemorrhagic bleed to the brain. The facility has had numerous other falls which lead to added procedures, exposure to radiation (radiological exams) and increased lengths of stay, multiple bruises, fractures, pulled out IV which need to be preplaced, and numerous bleeds and skin tears. The unit I work on is a Medical Surgical Telemetry (4 Tower) unit which consists mainly of pre and post open heart patient and pre and post angiogram patients who may or may not have had interventions which include stents, plasty, TCPA, Pacemaker / AICD placement, and EP studies with ablations. The patient population is mainly sixty years of age and above, with a high incidence of diabetes...
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...Working Today: Understanding What Drives Employee Engagement The 2003 Towers Perrin Talent Report U.S. Report Table of Contents Executive Summary .............................................................................................................................................................2 Defining Engagement: What It Looks Like ......................................................................................................................5 Exhibit 1: Defining Engagement ................................................................................................................................5 Exhibit 2: Current Employee Engagement...............................................................................................................6 Exhibit 3: Engagement Across Job Levels .............................................................................................................7 Exhibit 4: Engagement Across Industries...............................................................................................................7 Driving Engagement: What It Takes ................................................................................................................................9 Exhibit 5: Top Drivers of Engagement: How Employees Rate Their Companies Today.................................9 Exhibit 6: Employee Views About Leadership............................................................................................
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