-Teamwork throughout the organizations and departments. Weaknesses While there are strengths noted inside Children's Hospital & Medical Center; as with any organization there are weaknesses as well. These include: Handoffs and transitions between staff Staffing to the patient to patient ratio Bed availability during peak periods The perception that errors will be punished Evidence-based practice activities Per Children’s Hospital website, the following is a list of evidence-based practice activities that Children's Hospital & Medical Center follows and participates in, though through this organization uses the term pathways instead of evidence-based practice. “Pathways & Protocols Asthma, Inpatient Pathway Asthma, ED Pathway Asthma Exacerbation, Outpatient Pathway Bronchiolitis Protocol Concussion Pathway Community-Acquired Pneumonia - ED Pathway
Community-Acquired Pneumonia - Inpatient Pathway Cystic Fibrosis Protocol Eating Disorders Pathway Fontan Pathway Heated High Flow Pathway Musculoskeletal Infection - Initial Evaluation Pathway Musculoskeletal Infection - Inpatient Management Pathway Nitric Oxide Weaning Protocol – NICU Nitric Oxide Weaning Protocol - PICU Osteopenia Protocol Otitis Media (Acute) - Outpatient Pathway Oxygen/Oximetry Protocol Palivizumab Protocol Pharyngitis - Outpatient Pathway Physical Abuse - ED Pathway Physical Abuse - Inpatient Pathway Physical Abuse - Outpatient Pathway Sedation Protocol Sexual Abuse - ED Pathway Sexual Abuse - Outpatient Pathway Sinusitis (Acute Bacterial) - Outpatient Pathway Skin & Soft Tissue Pathway
Suspected Acute Stroke Pathway Venous Thromboembolism Pathway” (Children’s Hospital and Medical Center of Omaha, n.d.). Quality Improvement Projects: The following are pathways that are being designed and researched by Children's Hospital & Medical Center to ensure further patient safety and outcomes. Diabetic Ketoacidosis “Sepsis Skin Infections: Cellulitis & Abscess Supraventricular Tachycardia” (Children’s Hospital and Medical Center of Omaha, n.d.). IV Recommendation for organization change Recommendation The organization should consider ways to increase the bed capacity issue during peak periods. Increase in bed capacity can be accomplished by building on land that is already purchased, condensing other areas of space to make more inpatient beds available or consider putting two patients in one room that share the evidence-based protocol for room sharing. B: Rationale The rationale in regards to the recommendation of creating more inpatient beds to help with capacity issues during peak periods addresses one of the organizational weakness by adding additional beds. The community is affected by having more beds available in time of need. The current model of care when the hospital has a bed shortage includes these patient and their families seeing extended wait times in the emergency room while they wait for a bed to open.