Families are encouraged to participate in daily MD rounds, and bedside change of shift reports. Patient/family are encouraged to voice all their questions or concerns and are supported. Patient/family are educated on the Rapid Response number and are encouraged to call the rapid response if they feel their needs are not being met. The rapid response number is posted in every patient room above the whiteboard. Patients receive updated medication history at each visit, every nurse administering medication provides in-depth teaching, N/A
ORGANIZATIONAL LEADERSHIP 15 and also reinforces teaching of any medications, treatments, procedures performed on patient. Care Patient/family engage with clinicals in collaborative goal setting during daily MD rounds and bedside end of shift reports. Patient/family is listened to, respected, and treated as partners in care to allow a patient-centered approach to care. Pain is respectively managed in partnership with patient and family. N/A Area of Improvement The area of improvement noted in the PFCC tool above for NTC is in the Quality Improvement domain. Patients and families are not active participants on task forces or QI teams. Although patients and families are interviewed in their rooms daily, they do not actively participate in hospital-based meetings regarding quality, safety, and risks. Patients and families are not part of team attending IHI or NPSF. According to the Agency for Healthcare Research and Quality (2013), quality improvement groups should include the input from both the patient and family whenever possible. Allowing patients and their families to join a committee which focuses on areas of quality improvement from the consumer’s subjective view could prove to be beneficial to the hospital. Allowing the patients and their families to voice their concerns in a controlled environment will not only give the patient and their family a sense of autonomy but will also develop a sense of comradery with the healthcare team. Oftentimes patients and their families feel anxious and vulnerable while they are admitted and may not voice any concerns they may
ORGANIZATIONAL LEADERSHIP 16 because they are afraid of retaliation from staff. This results in the patient and family giving a bad review on the HCAHPS survey that is sent to them later. By implementing a patient and family ran quality improvement committee, hospital staff would be able to listen to the concerns of patient and family and attempt to quickly remedy the situation, so the patient and family feel cared for and listened to. These different perspectives can contribute significantly to patient- centered care and hospital improvements. Improvement strategy Quality improvement, just like healthcare, will inevitably change. Including and encouraging patient and family engagement in a quality improvement project can improve patient-centered care. Providing an open forum for patients and their families to voice their concerns or compliments will allow the organization to understand a different perspective to the level of care being provided.
- Spring '16
- Nursing, Health care provider