Post on 02-Jan-2016
Nurse Sensitive Outcome Measures Creating Practical Educational Tools July 24th, 2014
Shelley Fraser, MSN RN, Practice Consultant Professional Practice and Nursing, PHC
Barb Bedell, MSN RN, Practice Consultant Professional Practice and Nursing, PHC
Brittany Watson, BSN RN, Nurse Educator Professional Practice and Nursing, PHC
HEARR
Agenda
Overview of the project
• Utilizing data to engage point of care staff
• Utilizing Clinical Experts to identify best practice
• Utilizing an evidence based educational methodology
to scale response to data
• Utilizing evidence based education tools
• Questions/comments
Making it Meaningful
How do we deliver data to point of care staff in a way
that is meaningful, sustainable and helps to promote
best practice?
The Plan
Data is delivered to Program QualitySafety Committeeby QI Consultant
Nursing Leadership Interprets Data
Nurse Educators select the level of intervention
Nurse Educators & POC StaffCollaborate
Patient OutcomesImprove
Administrative Decision Support
(Supplies Data)
Data is supplied by period to the programs
Data is collected by period
Educational Methodology
No organization can afford to continue to cling to a
traditional learning mindset. The risk will be too high.
Your organization will rise to the next level if you move
forward focusing on providing learners just what they
need, at every moment of need, in the form needed.
Conrad Gottfredson, 2012
Defining Risk
• Ministry of Health had set a target:
– <10 cases (adverse event) per 1000 discharges
(data is pulled from the Discharge Abstract Database)
• Risk Stratification At PHC:
– >7 UTIs: 1000 patient discharge HIGH RISK
– 4-6 UTIs: 1000 patient discharge MEDIUM RISK
– <3 UTIs: 1000 patient discharge LOW RISK
Educational Interventions Based on Risk
• Low risk interventions include: monitoring data or
quick steps to serve as a reminder.
• Medium risk interventions include: simulation,
e-learning or tutorials to provide more detail.
• High risk interventions include: job aides, sneaker
support to educate and coach staff in the moment.