and reviews published, and one-hundred sixty-five molecular mutations responsible for rare neurological disorders. TCH has been awarded at the third best children’s hospital by U.S. News and World Report for the year of 2019-2020, but still strive to be number one (U.S. News and World Report, 2020). Current weaknesses Texas Children’s Hospital is an institution that is constantly expanding to meet the growing need of the community’s women and children. The groundwork was laid out in 1940 and opened for patient care in 1951. Since then, TCH has expanded to be a multibuilding hospital with numerous outside patient facilities. In the year 2018, the Legacy Tower opened with phase one that added 640,000-square-feet to the facility. Due to these types of large and quick changes and growths, the organization is pretty much always in a cycle of hiring. This places a great stress on many departments within the organization, such as human resources and the nursing professional development team. The largest number of staff within TCH is registered nurses. The importance of onboarding, education, and professional development is at such a high stake every week due to the constant influx of new employees. The operational impact of needing to pay for preceptors and orientees has the capability of negatively impacting the organization by these funds not going to things that can affect patient care, such as advancement technology. A major opportunity for improvement that the organization is facing is continued education to match the complexity and acuity of the patients. The hospital is a level one trauma and treats complex-care, global, and multi-ethnicity and disciplinary cases. The need for educational advancement within the organization can be improved such as more simulation labs, library, and more frequent required hands on training. Evidence-based practice activities
CONSULTATIVE CHANGE RECOMMENDATIONS 9 Quality improvement projects Recommendation for Organization Change A6 Recommendation The recommended change within the organization of Texas Children’s Hospital is beneficial and would lead to enhancements of patient outcomes. Within the next five years, the organization will have a simulation lab in each building that is easily accessible for all TCH healthcare staff. Each building includes the West Tower, Legacy Tower, Abercrombie Building, Wallace Tower, and Pavilion for Women. The simulation labs will closely relate to what type of patients are cared for in each of those buildings, such as Legacy Tower is the critical care building so the simulation lab will focus on acute care. The simulation labs will be utilized for required training, as well as optional educational growth such as providing a class on tracheostomy care or a unit-based mock code. Each building will be assessed for a construction site and once completed, the weakness of need for advancement education will be achieved by having constant opportunities for learning.
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