Beruflich Dokumente
Kultur Dokumente
Improvement Project
❧ ❧
Stevie Anderson, Sami Dalessio, Mckenna Foxworthy, Molly Hughes, Jacqueline
Jamison
April 18, 2018
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Overview of Patient Care Delivery System
2
Microsystem Model:
Leadership
Marquis, B. L., & Huston, C. J. (2017). Leadership roles and management functions in nursing: Theory and
application (9th ed. p. 306). Philadelphia: Wolters Kluwer Health
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Microsystem Model:
Patient Focus & Staff Focus
● Patient Focus- “To humanize and personalize the care
of an individual through respect for and incorporation of
his or her unique values and needs.”
■ Advocate patient needs
● Staff Focus- “Healthcare worker job satisfaction has an
impact on motivation, quality, effectiveness, and
commitment to work, therefore setting the tone for the
patient experience.”
■ “Open door policy” from nurse managers
■ Continuing education (tuition reimbursement)
■ Opportunities for advanced practice
Bias, B. (2018). Creating a motivating climate. [PowerPoint slides]. Retrieved from www.d2l.arizona.edu
Janicijevic, I., Seke, K., Djokovic, A., & Filipovic, T. (2013). Healthcare workers satisfaction and patient
satisfaction - where is the linkage? Hippokratia, 17(2), 157-162.
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Nelson, E., Batalden, P., Huber, T., Mohr, J., Godfrey, M., Headrick, L., & Wasson, J. (2002). Microsystems in health care: Part 1.
Learning from high-performing front-line clinical units. The Joint Commission,28(9), 1-22.
Microsystem Model:
Interdependence of Care Team
● Interdisciplinary rounding
● MD’s and providers frequent the unit
● Communication - phone, pagers, & Voceras
● Code team “Rapid Response Team”
Epstein, N. (2014). Multidisciplinary in-hospital teams improve patient outcomes: A review. Surgical
Neurology International, 5(8), 295. doi:10.4103/2152-7806.139612
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Microsystem Model:
Use of Information and Healthcare Technology
Marquis, B. L., & Huston, C. J. (2017). Leadership roles and management functions in nursing: Theory
7
and application (9th ed. p. 506). Philadelphia: Wolters Kluwer Health
Microsystem Model:
Process for Healthcare Delivery Improvement
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Specific Aspect Targeted for Improvement
● Leadership
○ Job stress related to short staffing on the PCU
leading to decreased patient outcomes
○ Nurse does not have time to complete tasks
due to improper high patient:nurse ratio
● Charge/Nurse educator
○ present in huddle
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Specific Aspect Targeted for Improvement
(cont.)
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References
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References cont.
● Nelson, E., Batalden, P., Huber, T., Mohr, J., Godfrey, M., Headrick, L., &
Wasson, J. (2002). Microsystems in health care: Part 1. Learning from
high-performing front-line clinical units. The Joint Commission,28(9), 1-22.
● “Section 4: Ways To Approach the Quality Improvement Process.” (2017).
Agency for Healthcare Research and Quality. Retrieved from
http://www.ahrq.gov/cahps/quality-improvement/improvement-guide/4-
approach-qi-process/index.html
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