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Clinical Practice Panel: Improvements in Pediatric Food Insecurity Screening; A QI project to increase Pediatric food insecurity screening
Casey Katzman, Brandy Rachel Frye, and Hsiang-Fen Su
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Clinical Practice Panel: Stand by Me: Using an Enhanced Recovery After Surgery (ERAS)Checklist to Guide Early Mobility of Postoperative Craniotomy Patients on a Progressive Care Unit
Alyssa Mooney, Jerome Codilla, Joanna Arraiza, Sohl Chapman, Nkiru Chukwudi, and Ronald Rosales
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Nursing Leadership Panel: Evaluating an Alternative Day Work Week for Nurse Leaders : A Pilot Study
Stephanie Nolan (Presenting Author), Trisha Saul (Presenting Author), and Candice Washilewski
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Nursing Panel Presentation: Certification Champion Pilot Project to Increase RN Specialty Certification Rates
Ari Meyers, Trisha Saul, and Miriam Bender
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Nursing Panel Presentation: Improving Nurse Retention Through Group Mentoring
Sandra Orellana and Adriana Velez
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Nursing Panel Presentation: Shared Governance & Transition into Practice: Impact on Engagement
Gudrun Reiter-Hiltebran
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Poster: Frontline Nurse Leader Satisfaction and Retention: Voices of System Chief Nursing Executives
Giancarlo Lyle-Edrosolo, Marlon G Saria, and Kenneth David Bailey
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Poster: Improving Emergency Department Belongings Inventory Electronic Medical Record Documentation
Shanekia Garrett, Stefanie Lai, Jairo Pagan, Wendy Lu, and Katie Whitehead
Improving Emergency Department Belongings Inventory Electronic Medical Record Documentation Rates Background: Electronic Medical Record (EMR) education and training for RNs should be multifaceted and targeted to the RN clinical workflow. Input from direct care RNs is essential to ensure EMR education is relevant and effective. Shared Governance at a community hospital identified quality and safety concerns among inpatient RNs. RNs reported that belongings inventories were not consistently documented in the EMR for Emergency Department (ED) admissions. Hospital policy requires belongings inventory EMR documentation for all admitted patients. An audit of charts for ED admissions over three months revealed only 5% compliance with this policy. Purpose: The purpose of this project was to increase the rate of belongings inventory EMR documentation for all ED admissions to greater than 75% over a one-month period. Methods: As part of a quality improvement project, Shared Governance asked a group of ED RNs and technicians to analyze documentation rates and explore how the department could better align with hospital policy. Staff responded that they were unaware of the hospital's belongings inventory policy. They suggested that providing education about the policy, adding “Belongings” to their favorites in the EMR, creating computer tag reminders, and auditing in real-time by charge nurses would increase compliance with the policy. Based on this input, Shared Governance developed a 1-page education sheet informing staff of the hospital’s policy and instructing them to add “Belongings” to their favorites in the EMR. The sheet was emailed to staff and posted in a centralized area. Staff signed a form confirming they completed the education and committed to following the policy. Charge RNs verified “Belongings” was added to staff favorites in the EMR and audited ED charts for belongings inventory prior to admissions, intervening as needed to ensure completion. Computer tags were placed on all ED monitors to reinforce education. ED RNs and technicians completed education during March 2023. The following month, all ED admission charts (n=345) were audited for four consecutive weeks and progress reports were posted weekly in the staff lounge. Results: Compliance with the policy increased from 5% to 79% post-intervention. Conclusions: Multifaceted intervention increased compliance with a policy requiring EMR documentation in the ED. Staff input led to the development of targeted education. Weekly progress reports kept staff engaged while they integrated belongings inventory EMR documentation into their workflow. Implications for practice: Although there is evidence that belongings documentation education can reduce lost belongings, insufficient data was available to measure the impact of the intervention on lost belongings for this project. Further research is needed to determine the impact of belongings inventory documentation on patient
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Poster: Improving High Reliability Organization (HRO) Education, Culture, & Engagement Through Video
Francis Khan and Alison Branson
Background: While Providence began the HRO journey in 2015, the Northern California region didn’t launch until March 2022. While most leaders and caregivers have been trained, several still have difficulty remembering and applying the HRO principles and tools. The HRO Vlog provides a series of short videos that not only reinforce the various high reliability principles, but also provides real-life stories of caregivers who have successfully applied HRO principles and tools in their daily work. Purpose: According to Press Ganey’s Virtuous Cycle Model (Fig A.), safety and engagement the drivers of HRO. When safety and engagement operate in tandem, benefits are realized in the areas of quality, experience, and efficiency. Throughout the Northern California region, safety is of paramount importance. What varies, however, is the engagement. As such, relationship between safety and engagement has been slow, and in turn, so has quality, experience, and efficiency. The purpose of the NorCal HRO Vlog, therefore, is to address the lack of engagement and to reignite the virtuous cycle of high reliability. Methods: HRO Vlog stories were selected in partnership with local quality and/or risk teams at each ministry. Good Catches that are submitted through Datix or submitted through our Good Catch award programs, serve as the source of the stories for the HRO Vlog. Once a story is selected, the event is analyzed to determine which HRO behavior and/or tool was used in the event. Staff are then interviewed and filmed, and the video is edited to an average length of 3-5 minutes. Once complete, the video is published on our SharePoint sites, Yammer, and the Caregiver Newsletter. Results: Our high reliability culture in Northern California has shifted from reactive to proactive. The volume of Near Miss reporting has increased since the inception of the HRO Video Blog. Near Miss/Good Catch reporting at five of six hospitals in Providence Northern California has increased by over 400%, increasing from 464 total near misses reported in 2021, to 2040 total near misses reported in 2022. And this number continues to rise. And on our annual culture of safety and employee engagement survey, staff at all six hospitals in Northern California reported that they are encouraged by others to report any patient safety concerns they may have: Northern California Hospital #1 Hospital #2 Hospital #3 Hospital #4 Hospital #5 Hospital #6 84 82 92 85 82 89 99 *Scores = % Favorable Conclusion: Given the increase in near miss/good catch reporting and the shift towards a “speak up for safety” culture, we believe that the HRO Video Blog has enhanced the high reliability learning and engagement experience for all caregivers and could be applied to support other educational/engagement efforts throughout Providence. Implications for Practice: Anyone can create an HRO vlog at Providence and it doesn’t require a large budget to get started. Required items include: • Smartphone (filming) • Lapel Microphone (audio) • Tripod • Microsoft Video Editor • Microsoft Stream (Publishing) • Microsoft PowerPoint (Thumbnails) • Microsoft OneDrive Link: NorCal HRO Vlog Channel
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Poster: MORAL INJURY & NURSE WORK PERFORMANCE FOLLOWING THE COVID-19 SURGES
Annette Callis, Trisha Saul, and Ross Bindler
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Poster: NICU Reading Club: Promoting Early Reading in the NICU
Hsiang-Fen Su, Irma Duke, and Roxanne Arcinue
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