Manual: Performance Improvement Manual (Ver 7) External Reference: "(TJC PI.01.01.01, PI.02.01.01, PI.03.01.01)"
This customizable document, Labor and Delivery Nursing PI Trending Sheet, is taken from MCN Healthcare's Performance Improvement Manual. For more than 20 years, MCN has been the health care industry's leading provider of policy and procedure templates, forms, competencies and other compliance tools. MCN provides more than 80 health care specific policy and procedure manuals for Acute Care Hospitals, Ambulatory Care, Behavioral Health, Home Health, Physician Practice, and Long Term Care. MCN's policy and procedure manuals focus on the latest healthcare "hot topic" issues related to patient safety and prevention of medical healthcare errors. Here is some sample content from Labor and Delivery Nursing PI Trending Sheet:
| | Performance Measures/OutcomesInterdepartmental CollaborationBenchmark
GoalFunctionJanFebMarAprMayJunJulAugSepOctNovDecTotalPFA:
- Patients/neonates readmitted due to inappropriate assessment of nutritional needsNutritional Services
Medical Staff
NursingPC- All patients who present in labor will have a physician present at deliveryEmergency Dept.
Medical Staff
NursingPC, MSPFA:
- All verbal/telephone orders and critical test results are read back for verification by the person taking the order or resultMedical Staff
Nursing
Pharmacy
Risk ManagementPC, IM,
MS, MM- All patients are identified... |
| Second excerpt: |
| | ...are identified using 2 patient identifiers before administering medications, blood, blood products, treatmentsAs aboveAs above- # of times standardized hand-off communication not performed when primary RN leaves the unitNursing
PI CommitteePCPFA:
- Overtime due to understaffingNursing
Human Resources
Medical Staff
AdministrationPC, HR,
NR, RI- Understaffing as compared to the department's staffing planAs aboveAs above- Patient complaintsAs aboveAs above
PERFORMANCE IMPROVEMENT TRENDING... |
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