Continuous Quality Improvement

Continuous Quality Improvement

In my previous position, working as a NICU RN, we initially did not use two RN’s to verify the content in the TPN-bags for each patient. Shortly after I started working at this facility, this change was implemented. The purpose was to catch medical errors from pharmacy that sadly was occurring more frequently. This new process of reading labels with another RN while verifying the content with the document from pharmacy, and then hanging the TPN required more time in the nurses’ day. In addition, all this was done toward the end of day-shift around 1730. This process resulted in stress among the RN’s and often overtime, which was not appreciated by management. Thankfully, a solution was found by changing the time of day TPN was delivered to the unit. By working together and brainstorming solutions, everyone was satisfied in the end; quality of care was improved, and the nurses were able to finish their duties in time.

References:

Continuous Quality Improvement. (2018).

Retrieved from https://www.ncchc.org/spotlight-on-the-standards-24-1

Kronich, L., Kurz, M., Lin, S., Edelson, D., Berg, R., Billi, J.,…Cabanas, J. (2015). System of Care and Continuous Quatity Improvement.

Retrieved from https://www.ahajournals.org/doi/abs/10.1161/cir.0000000000000258

6-I agree with your response about having a rapid response team because this helps identify patients at risk for cdoing before the event when you can give care to help prevent a code. I think rapid response teams are a must in facilities. according to patient safety primer .gov

Rapid response teams represent an intuitively simple concept: When a patient demonstrates signs of imminent clinical deterioration, a team of providers is summoned to the bedside to immediately assess and treat the patient with the goal of preventing intensive care unit transfer, cardiac arrest, or death (psnet.ahrq.gov). I also agree with your staement about the lean technique that is in our text as a useful apporach to imrove efficincy in renedering care. When we are effective communicators and work as a team in our settings, we will definietly be more productive and work loads can be reduced, less stress in the workplace, etc. Team work is amazing when it is used the way it was intended to. Evryone working together to achieve a common goal is also important. If everyone is not on the same page, then this is where conflict can areise. Thank you for sharing, I enjoyed reading your post!