The Journey to Tracking Neonatal Intensive Care Unit Acuity
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- 作者：Pamela Pockras ; MSN ; APRN ; NNP-BC ; pam.pockras@cchmc.org" class="auth_mail" title="E-mail the corresponding author ; Kevin Fischer ; MSN ; APRN ; PNP-BC ; Cynthia Acree-Hamann ; DNP ; APRN ; NNP-BC ; Heather Ryle ; DNP APRN ; NNP-BC
- 关键词：NICU patient acuity ; APRN productivity tracking ; Communication ; IPASS
- 刊名：Newborn and Infant Nursing Reviews
- 出版年：2016
- 出版时间：September 2016
- 年：2016
- 卷：16
- 期：3
- 页码：149-154
- 全文大小：862 K
文摘
In 2001, The Institute of Medicine (IOM) proposed six aims for changing the American health care system. The Institute for Healthcare Improvement (n.d.) 1 Those aims were intended to make the future health care system; Safe, Timely, Effective, Efficient, Equitable, and Patient-Centered. With the acronym of STEEEP, the proposal provided a very steep learning curve for the United States Health Care System. Fortunately for nursing leaders, having been trained in providing a safe environment for patients, monitoring trends, and solving problems, the learning curve was not as steep. A small group of multidisciplinary leaders have been working on achieving these aims in a midwest level IV neonatal intensive care unit. The focus has been to improve patient safety through appropriate staffing and communication amongst health care providers with the use of evidence, structure, and technology.The team of multidisciplinary leaders have redesigned the rounding process, improved communication, tracked acuity, and enhanced staffing as a result of tracking productivity and acuity in the NICU.