2008 NursiNg ANNuAl report - Catholic Health System

More documents

Recommendations

Info

Quality in Nursing The nursing department tracks several nursing-sensitive quality indicators both independently and through the National Database for Nursing Quality Indicators (NDNQI). Indicators are measured, reported and tracked at the unit level to be used for practice and process improvements using current evidence and best practice. Indicators that are monitored and reported on include medication errors, patient falls, core measures for congestive heart failure and community acquired pneumonia, restraint use, and pressure ulcer prevalence. For the pressure ulcer prevalence and restraint use- skin rounds are done on the same day each month and Sisters Hospital Pressure Ulcer Prevalence Rate any patients in restraints are 12.0% 11.0% documented. The results are 10.2% 10.3% graphed for reporting to the 10.0% units and up through the hospital quality committee. They 8.0% 7.0% are also reported through the 6.0% 6.0% 5.7% 5.8% National Database for Nursing 5.1% 5.0% Quality Indicators (NDNQI) 4.4% 4.2% 3.9% 4.0% for benchmarking nationally. These graphs show a trend of overall improvement for the use of restraints and pressure ulcer prevalence for 2008. 2.0% 0.0% Jan-08 Feb-08 Mar-08 Apr-08 May-08 Jun-08 Jul-08 Aug-08 Sep-08 Oct-08 Nov-08 Dec-08 Rate = Patients with H.A.ulcers /Total patients surveyed Total Hospital Rate Linear (Total Hospital Rate) The individual Unit Practice Councils are charged with analyzing the data and determining ways to improve outcomes for their unit. If successful, they will share their processes with the other units in the hospital. When an opportunity exists for improvement on all patient care units, a more global approach to the problem is developed with all units implementing the same improvement plan. 12 10 3 146 # of Restraints 8 6 4 2 0 1 140 10158 Total Restraints The results from all units are monitored and shared with the nurse managers with the expectation that results are then communicated to the staff for further analysis and idea sharing. The intent is to continue building our culture of patient safety and nursing excellence. 4 127 130 1 1 133 3 126 2 143 139 1 1 Jan-08 Feb-08 Mar-08 Apr-08 May-08 Jun-08 Jul-08 Aug-08 Sep-08 Oct-08 Nov-08 Dec-08 Pts with Restraints Number of patietnts surveyed Linear (Pts with Restraints) 120 2 127 0 96 180 160 140 120 # of Patients 100 80 60 40 20 0 12
Certifications Agugliaro, Jane RN - Neonatal Intensive Care Nursing; NCC Alessi, Jill RN - Neonatal Intensive Care Nursing; NCC Ball, Jacqueline RN - Neonatal Intensive Care Nursing; NCC Barnhart, Susan MSN - Neonatal NP Certification; NCC Bartholomew, Marjorie RN – Nursing Case Management; ANCC Baumgartner, Bridget RN - CNOR Bohacki, Robin RN - Neonatal Intensive Care Nursing; NCC Boctor, Michelle RN - Medical/Surgical AACN Buckley, Maureen RN - Neonatal Intensive Care Nursing; NCC Butler, Cindy RN - Medical/Surgical Nursing; AMSN Caci, Nadine RN - Neonatal Intensive Care Nursing; NCC Cirbus, Susan RN – Nursing Case Management; ANCC Cleary, Christine RN - Neonatal Intensive Care Nursing; NCC Collins, Patricia RN - Low Risk Neonatal Nursing; NCC Croyle, Barbara RN - Low Risk Neonatal Nursing; NCC Dake, Ginalyn RN - Low Risk Neonatal Nursing; NCC Dillon, Mary MS RN – Nurse Executive Advanced; ANCC Dollman, Jen RN – CNOR Donofrio, Margy RN - CASC Engl, Cindy RN - Maternal/Newborn Inpatient Obstetrics; NCC Fahey, Gail Ann RN - PCCN; AACN Foster, Bridget RN - Medical/Surgical Nursing; AMSN Gajewski, Joanne RN - Neonatal Intensive Care Nursing; NCC Goff, Robin RN - Neonatal Intensive Care Nursing; NCC Groves, Kate RN - CNOR Harf, Lisa RN - Neonatal Intensive Care Nursing; NCC Hughes, Margaret RN - CRNFA; AORN Inglut, Michelle RN - Neonatal Intensive Care Nursing; NCC Jamil, Gamileh RN - Lactation Consultant Jones, Maureen RN - Inpatient Obstetrics; NCC Kane, Francine RN - Inpatient Obstetrics; NCC Kessler, Mary RN - CNOR Kingston, Stacey RN - Low Risk Neonatal Nursing; NCC; IBCLC Kirkpatrick, Norine RN - IBCLC 13
Page 1 and 2: 2008 Nursing Annual Report
Page 3 and 4: Message From The CNO Dear Nursing C
Page 5 and 6: Nursing Committees/Councils Patient
Page 7 and 8: Nursing Initiatives Promoting Relat
Page 9 and 10: Nursing Initiatives Remote Cardiac
Page 11 and 12: Oral Presentations National Impleme
Page 13: Nurses in the Community Community C
Page 17 and 18: Certifications Samra, Amandeep RN-
Page 19 and 20: Awards and Recognitions Congratulat
Page 21 and 22: Educational Accomplishments Pamela
Page 23 and 24: Hospitals are held together, glued

2008 NursiNg ANNuAl report - Catholic Health System

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?