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- W8737557 abstract "Ashley Woronoff RN BSN, Valerie Neary RN MSN, Darcie Shewokis RN BSN OCN , Rebecca Joiner RN-BC BSN, Maggie Hanbury RN BSN MPA CPHQ, Sharon Clark RN BSN, Gail Nelson RN MS NEA-BC, Lisa Corbett APRN CWOCN Performance Improvement Nursing Council, Hartford Hospital, Hartford CT lcorbet@harthosp.org EVALUATION What Do Nurses Want? Making Patient Safety Data Meaningful Authors: Ashley Woronoff RN BSN Valerie Neary RN MSN, Darcie Shewokis RN BSN OCN , Rebecca Joiner RN-BC BSN, Maggie Hanbury RN BSN MPA CPHQ, Sharon Clark RN BSN, Gail Nelson RN MS , Lisa Corbett APRN CWOCN, Performance Improvement Nursing Council, Hartford Hospital, Hartford CT lcorbet@harthosp.org Purpose : Engagement of the direct care RN into data collection and monitoring supports the culture of patient safety. The Performance Improvement Nursing Council (PINC) has developed and refined the translation of patient safety data utilizing unit dashboard review, intranet metric icon, and newsletters. Significance : Nurses’ appraised value, perceived significance, access and understanding of outcome data is critical to the improvement process, patient safety, and ultimately to the financial health of an institution (Jamtvedt G et al 2006, DeVos et al 2009). Strategy and Implementation : Institutional outcome data is transparent to all on intranet Metric Icon. Hospital-wide communication strategy sets structure for routine data review and messaging conducted in each department. Weekly patient safety and monthly nursing council e-newsletters remind and reinforce. Nursing Leadership streamlined dashboards and revised to volume adjusted benchmarks. Individual performance reviews were linked to attainment of unit dashboard goals. The PINC surveyed nurses for responses on: value of outcome data, impact on nursing practice, knowledge of federal regulatory agencies, methods of data presentation and distribution, perceived motivators and sustainment. Results were utilized to revise data presentation and patient safety strategies. Developments and refinements of all processes over a 3 year period are portrayed on a timeline. Evaluation: Survey results: majority of RNs were familiar with their unit-based outcome data and these data were consistently discussed at staff meetings. 85% stated that their unit utilized the data to devise specific care delivery improvements. Nurses preferred bar graphs for data presentation and cited highest motivators as recognition, unit improvements and professional responsibility. Implications for Practice : Free access to patient safety data, championed by shared governance RNs, plus the consistent interpretation through staff meetings appears to impact RNs in daily practice. Improvements in patient falls, pressure ulcers, infection rates and documentation have all been observed through this process. Helping nurses to make the link between their day to day delivery of patient care, and improved outcomes connected to financial and regulatory strength will sustain quality healthcare. References: Baernholdt M, Jennings BM, Merwin E & Thornlow, D.(2010) What does quality care mean to nurses in rural hospitals? Journal of Advanced Nursing. 66(6), 1346-1355. Center for Medicaid and Medicare Services http://www.cms.gov/HospitalQualityInits/downloads/HospitalRHQDAPU200808.pdf accessed 6/05/11 DeVos M et al (2009) Using quality indicators to improve hospital care: a review of the literature. International Journal for Quality in Health Care 21(2) 119-129. Frith KH, Anderson F Sewell JP (2010) Assessing and selecting data for a nursing services dashboard. Journal of Nursing Administration.40(1):10-6. Jamtvedt G et al (2006) Audit and feedback: effects on professional practice and healthcare outcome. Cochrane Database Syst Rev. : CD000259. 2009 201" @default.
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- W8737557 date "2013-01-01" @default.
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- W8737557 title "What Do Nurses Want? Making Patient Safety Data Meaningful" @default.
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