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Unformatted text preview: Figure 1 How MedicalSurgical Nurses Spend Their Time Total Time by Activity Unit-Related Functions 2.8% Waste 6.8% Nonclinical 12.6% Assessments/Vitals 5.8% Off the Unit 6.9% On the Unit 23.7% Nurse Station 38.6% Patient Room 30.8% Patient Care Activities 15.1% Care Coordination 16.0% Documentation 27.5% Total Time by Location Source: Adapted from data and conclusions presented in Hendrich, A., M. Chow, B. A. Skierczynski, and L. Zhenqiang. 2008. A 36-hospital time and motion study: How do medical-surgical nurses spend their time? Permanente Journal 12:2534 . Percentages for this chart are recalculated from time values presented in the original study. Medication Administration 13.4% Nursing Practice 77.8% Nursings Charting F u t u r e Reports on Policies That Can Transform Patient Care A Publication of the Robert Wood Johnson Foundation Addressing the Quality and Safety GapPart I: Case Studies in Transforming Hospital Nursing and Building Cultures of Safety B etween 44,000 and 98,000 Americans die each year as a result of hospital errors, while many others sustain serious injuries, according to the Institute of Medicines groundbreaking report To Err Is Human (1999) . As the largest single health care workforce, nurses are playing a leading role in addressing this alarming problem. This issue of the series begins a three-part exploration of quality and safety innova- Issue Number 10 Creating Highly Reliable Organizations: Page 2 Case Studies On-the-Job Nurse Education Enables Major Care Improvements: Page 3 Agile Teams Increase Bedside Care and Nurse Retention: Page 4 Lean Principles Standardize and Streamline Key Care Processes: Page 5 Promoting a Culture of Safe Work Habits and Behaviors: Page 6 Washington State Staffing Pact Aims for Quality and Safety: Page 7 How Policymakers Can Drive Advances in Safety and Quality: Page 8 The Value of Nursing tions by looking at how four health care systems and a state government are using quality improvement strategies to strengthen care processes, optimize staffing, and promote safe work habits. Policy recom- mendations appear on page 8. For more on safety and quality, see Part II (issue 11), exploring health information technologies (HITs), and Part III, examin- ing evidence-based physical design, due out in 2010. JUL. 2009 Nurses in the study spent only about 15% of their time on patient care activi- tieswith time divided between several patients. Most of their time was spent outside patient rooms and on activities such as documentation, care coordination (com- municating with team members), and medication administration (preparing medications). Substantially Increasing nurses time for bedside care and eliminating errors and waste are major innovation themes....
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- Fall '11