Evaluation includes baseline and ongoing measures: time and motion studies; satisfaction surveys completed by members of all disciplines including nurses, nurse aides, physicians, physical therapists, respiratory therapists, and housekeeping; fall, pressure ulcer and adverse drug event rates; RN vacancy rate; staff turnover rate; patient satisfaction scores; and nursing hours per patient day.
Examples of innovations include, but are not limited to the following: physical redesign of the unit; safety “huddles”; quiet zones; communication boards; and staff status boards to indicate whether staff need help or could handle additional patient care assignments.
Outcomes achieved include, but are not limited to the following: Fall rate decreased to 0; pressure ulcer rate less than 0.0040; no adverse drug events; RN vacancy rate remaining at 0; voluntary staff turnover rate decreased to 0; and increased patient satisfaction.