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Sunday, November 1, 2009
Learning Objective 1: Describe the development of a health system-wide nursing orientation as a pivotal solution for patient safety.
Learning Objective 2: Discuss innovations in nursing education used to disseminate evidence-based practice standards in patient safety.
Program Outcome: North Shore-Long Island Jewish Health System (NSLIJHS) is the Nation’s third largest, non-profit, secular healthcare system with a service area of 5.2 million people. NSLIJHS is the largest employer on Long Island with more than 10, 500 nurses. Committed to become the leader in promoting quality health care, the Health System has created a goal of zero tolerance for medical errors and infections. Health System-wide quality initiatives rely on partnerships between clinicians, researchers, and educators. The mission of the NSLIJHS Institute for Nursing is to promote health and quality through innovations in nursing practice, research, and education. The Institute for Nursing believes that Health System-wide nursing orientation is a pivotal solution for patient safety. The outcome of this program is to improve quality and safety performance measures throughout the Health System through innovations in nursing orientation. This Health System-wide strategy is aligned with the World Health Organization World Alliance for Patient Safety, which addresses patient safety as a paramount global issue in healthcare.
Planning Methods: System-wide nursing orientation curricular are developed to establish norms and standards in patient safety. Innovations in Health System-wide nursing orientation are planned and developed to improve the quality and health of patients served by the Health System. A Collaborative Care Model, whose core value is Patients Come First, provides the conceptual framework for nursing education. Health System-wide nursing orientation, as a solution for patient safety, integrates evidence-based patient safety strategies disseminated by the Centers for Medicare and Medicaid Services (CMS), Joint Commission, and Institute of Healthcare Improvement (IHI). Nursing orientation curricula addresses CMS process of care measures, specifically, acute myocardial infarction, heart failure, pneumonia, and surgical care improvement project; National Patient Safety Goals; and IHI 5 Million Lives Campaign interventions. Implementation Methods: Evidence-based practice and patient safety standards are diffused through innovations in nursing education. Innovations in nursing orientation utilize blended learning strategies including high-fidelity clinical simulation, e-learning, problem-focused case studies, and a learning laboratory. Baseline- and post-assessment of nursing process are conducted in a clinical simulation laboratory using high-fidelity patient simulators. All simulations are video-recorded and concluded with a nurse educator-facilitated debriefing session. Professional registered nurses demonstrate the application of knowledge in patient safety priorities including prevention of hospital-acquired infections, prevention of hospital-acquired pressure ulcers, safe medication practices, and communication.
Results: Innovations in nursing orientation as a solution for patient safety impacts over 700 professional registered nurses annually. Hospital-level quality and safety measures are publicly reported, tracked, and analyzed for Health System-wide improvements. Nursing process competency data are tracked, trended, and analyzed for program effectiveness. Future directions include continued validity and reliability testing of assessment tools, and research to evaluate impact on patient safety in the clinical environment.
Planning Methods: System-wide nursing orientation curricular are developed to establish norms and standards in patient safety. Innovations in Health System-wide nursing orientation are planned and developed to improve the quality and health of patients served by the Health System. A Collaborative Care Model, whose core value is Patients Come First, provides the conceptual framework for nursing education. Health System-wide nursing orientation, as a solution for patient safety, integrates evidence-based patient safety strategies disseminated by the Centers for Medicare and Medicaid Services (CMS), Joint Commission, and Institute of Healthcare Improvement (IHI). Nursing orientation curricula addresses CMS process of care measures, specifically, acute myocardial infarction, heart failure, pneumonia, and surgical care improvement project; National Patient Safety Goals; and IHI 5 Million Lives Campaign interventions. Implementation Methods: Evidence-based practice and patient safety standards are diffused through innovations in nursing education. Innovations in nursing orientation utilize blended learning strategies including high-fidelity clinical simulation, e-learning, problem-focused case studies, and a learning laboratory. Baseline- and post-assessment of nursing process are conducted in a clinical simulation laboratory using high-fidelity patient simulators. All simulations are video-recorded and concluded with a nurse educator-facilitated debriefing session. Professional registered nurses demonstrate the application of knowledge in patient safety priorities including prevention of hospital-acquired infections, prevention of hospital-acquired pressure ulcers, safe medication practices, and communication.
Results: Innovations in nursing orientation as a solution for patient safety impacts over 700 professional registered nurses annually. Hospital-level quality and safety measures are publicly reported, tracked, and analyzed for Health System-wide improvements. Nursing process competency data are tracked, trended, and analyzed for program effectiveness. Future directions include continued validity and reliability testing of assessment tools, and research to evaluate impact on patient safety in the clinical environment.