Manual: Performance Improvement Manual (Ver 7) External Reference: (TJC PI.01.01.01)
This customizable document, Restraint Monitoring - Hospitalwide 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 Restraint Monitoring - Hospitalwide PI Trending Sheet:
| | Performance Measures/OutcomesInterdepartmental CollaborationBenchmark
GoalFunctionJanFebMarAprMayJunJulAugSepOctNovDecTotalTotal Discharges excluding NBPFA:
- Total # of patients with orders for restraints - unit specificAdministration
Nurse Executive
Nursing Services
Skilled Nursing
Clinical Ancillary DepartmentsRI, LD,
PC, RI Medical Surgical UnitAs aboveAs above ICU/CCUAs aboveAs above Telemetry UnitAs aboveAs above Maternal Child HealthAs aboveAs above Emergency DepartmentAs aboveAs above- # of patient fallsAs aboveAs above- # of restrained patient fallsAs aboveAs above- # of restrained... |
| Second excerpt: |
| | ...fallsAs aboveAs above- # of restrained patients on AtivanAs aboveAs above- # of patients with documented mobile activityAs aboveAs above- # of patient deaths associated with restraint useAs aboveAs abovePFA:
- Staff turnover rateNursing Services
Skilled Nursing
Human Resources
AdministrationPC, LD, HR- Understaffing as compared to department's staffing planAs aboveAs above- Injuries to patientsAs aboveAs above- Patient satisfactionAs aboveAs above
PERFORMANCE IMPROVEMENT TRENDING... |
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