Shigo, Jody, RN, CMSRN

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Lehigh Valley Health Network: LVHN Scholarly Works

Lehigh Valley Health NetworkLVHN Scholarly WorksPatient Care Services / NursingPrioritization, Accountability and Engagement:Programmatic Strategies for all Three to ImpactPatient SafetyJody Shigo RN, CMSRNLehigh Valley Health Network, Jody.Shigo@lvhn.orgFollow this and additional works at: http://scholarlyworks.lvhn.org/patient-care-services-nursingPart of the Nursing CommonsThis Poster is brought to you for free and open access by LVHN Scholarly Works. It has been accepted for inclusion in LVHN Scholarly Works by anauthorized administrator. For more information, please contact LibraryServices@lvhn.org.Published In/Presented AtShigo, J. & Transitional Trauma Unit (TTU) Staff Members, (2014, October, 22). Prioritization, Accountability and Engagement:Programmatic Strategies for all Three to Impact Patient Safety. Poster session presented at the PONL Nursing Leadership Symposium,Gettysburg, PA.Shigo, J. (2015, October 30). Prioritization, Accountability and Engagement: Programmatic Strategies for all Three to Impact Patient Safety.Presented at Research Day 2015, Lehigh Valley Health Network, Allentown, PA. © 2014 Lehigh Valley Health Network BackgroundMagnet™ designated organizations must demonstrate unit-level nurse sensitive clinical indicator data outperform the mean or median of a national database, for the majority of units, the majority of the time. Two such required indicators are falls and hospital acquired pressure ulcers. Staff from a 24-bed medical-surgical transitional trauma unit (TTU) recognized the need to PRIORITIZE actions to improve patient outcomes by decreasing fall and pressure ulcer rates. PrioritizationBundled ActionsChief Nursing Officer to clinical nurses:    Aligned and incentivized goals upon whichsalary increases were based.Percent reductions in nurse sensitive clinical indicators•  Decrease in falls with injury by 20%•  Decrease in pressure ulcers by 15% AccountabilityStrong Unit Shared Governance Modelwith established structures and processes Engagement•  Address lighting concerns - place night lights in each patient room•  Determine “who” to place on bed check - at risk fall patient check list•  Hand out fall interventions at daily huddle – yellow socks, signage•  Hold Technical Partner huddles - as a double check•  Post signage in patient bathrooms – “Don’t get up unless you call”•  Create education poster – peer-to-peer interventions•  Document “LOW” or “HIGH” on white board - visual reminder to all staff entering room  •  Education Blitz•  Twice daily quality huddles - identify unit population-specific risk factors•  Transparency of data - publically displayed visibility boards•  Real-time communication of outcomes - prompted ongoing analysis and modification of strategies and actions An Evidence-Based PlanOutcomes‘Just Do It’ CampaignLehigh Valley Health Network, Allentown, PAPrioritization, Accountability and Engagement: Programmatic Strategies for all Three to Impact Patient SafetyTransitional Trauma Unit (TTU) Staff MembersMagnetTM Since2002

Prioritization, Accountability and Engagement: Programmatic Strategies for all Three to Impact Patient Safety

http://scholarlyworks.lvhn.org/cgi/viewcontent.cgi?article=1339&context=patient-care-services-nursing

Prioritization, Accountability and Engagement: Programmatic Strategies for all Three to Impact Patient Safety

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Lehigh Valley Health Network: LVHN Scholarly Works