AHRQ Innovations Exchange | Nurse-Led, Unit-Based Quality Improvement Increases Amount of Time Spent With Patients, Reduces Falls and Nurse Turnover

Nurse-Led, Unit-Based Quality Improvement Increases Amount of Time Spent With Patients, Reduces Falls and Nurse Turnover

Snapshot
Summary
As a pilot site for the Transforming Care at the Bedside initiative, Seton Northwest Hospital continuously designs and tests nurse-led quality improvement projects at the patient's bedside using a rapid-cycle improvement process, with projects designed to meet one of four objectives: care safety/reliability, teamwork/staff vitality, waste reduction, and patient-centeredness. The hospital has undertaken more than 120 quality initiatives to date, making nurse-led performance improvement a routine part of everyday operations on the units. The program has allowed nurses to be more efficient and spend more time with patients, reduced falls and nurse turnover, accelerated patient discharge, and yielded positive feedback from staff and patients.

Evidence Rating
Moderate: The evidence varies by initiative, but generally consists of pre- and post-implementation comparisons of key process measures, post-implementation surveys of patients and staff, and/or anecdotal feedback from nurses.

Developing Organizations
Institute for Healthcare Improvement; Robert Wood Johnson Foundation; Seton Healthcare Network; Seton Northwest Hospital

Date First Implemented
2003
November


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AHRQ Innovations Exchange | Nurse-Led, Unit-Based Quality Improvement Increases Amount of Time Spent With Patients, Reduces Falls and Nurse Turnover