Qip Eportfolio
Qip Eportfolio
Qip Eportfolio
Improvement Project
Stefany Barriga, Sara Dacquisto, Chelsey Earnhart, Suzanna Jeffries, Marissa Lizarraga
December 2, 2015
Hospital
Unit
Focus: Performance Patterns related to Nurse-Patient
Ratio
Microsystem Model:
Leadership
Marquis, B.L., & Huston, C.J. (2015b). Leadership roles and management functions in nursing theory
and application (8th
ed., pp. 40-41). Philadelphia, PA:Wolters Kluwer health/ Lippincott Williams & Wilkins.
Microsystem Model:
Organizational Culture and Support
Marquis, B.L., & Huston, C.J. (2015c). Leadership roles and management functions in nursing theory and
application (8th ed., pp. 260-286). Philadelphia, PA: Wolters Kluwer health/ Lippincott Williams &
Wilkins.
Institute for Healthcare Improvement.(2015). Clinical microsystem assessment tool. Retrieved from
http://www.ihi.org/resources/pages/tools/clinicalmicrosystemassessmenttool.aspx
Microsystem Model:
Patient Focus & Staff Focus
Patient Focus
o Provide care that is respectful of and responsive to
individual patient preferences, needs, and values, and
ensuring that patient values guide all clinical decisions
o Patient Centered Care - Nurses, Patient Ambassadors
Staff Focus
o An organization ...is responsible in part for the growth
in staff development programs.
o Continuing Education - Unit Specific
Marquis, B.L., & Huston, C.J. (2015). Leadership roles and management functions in nursing theory and
application (8th ed., pp. 366). Philadelphia, PA: Wolters Kluwer health/ Lippincott Williams &
Wilkins.
Warren, N. (2012). Involving patient and family advisors in the patient and family-centered care model.
MEDSURG Nursing, 21(4), 233-239.
Microsystem Model:
Interdependence of Care Team
Youngwerth, J., & Twaddle, M. (2011). Cultures of interdisciplinary teams: How to foster good dynamics.
Journal of palliative medicine, 14(5), 650-654. doi: 10.1089/jpm.2010.0395
Institute for Healthcare Improvement.(2015). Clinical microsystem assessment tool. Retrieved from
http://www.ihi.org/resources/pages/tools/clinicalmicrosystemassessmenttool.aspx
Microsystem Model:
Use of Information and Healthcare Technology
Institute for Healthcare Improvement.(2015). Clinical microsystem assessment tool. Retrieved from
http://www.ihi.org/resources/pages/tools/clinicalmicrosystemassessmenttool.aspx
Marquis, B.L., & Huston, C.J. (2015d). Leadership roles and management functions in nursing theory and
application (8th ed., pp. 452-456). Philadelphia, PA: Wolters Kluwer health/ Lippincott Williams &
Wilkins.
Microsystem Model:
Process for Healthcare Delivery Improvement
Marquis, B.L., & Huston, C.J. (2015). Leadership roles and management functions in nursing theory and
application (8th ed., pp. 547). Philadelphia, PA: Wolters Kluwer health/Lippincott Williams &
Wilkins.
Microsystem Model:
Staff Performance Patterns
Blegen, M. A., Goode, C. J., Spetz, J., Vaughn, T., & Park, S. H. (2011). Nurse Staffing effects on patient
outcomes: Safety-net and Non-safety-net hospitals. Medical Care, 49(4), 406-414.
Twigg, D., Duffield, C., Thompson, P. L., & Rapley, P. (2010). The impact of nurses on patient morbidity
and mortality - the need for a policy change in response to the nursing shortage. Australian Health
Review, 34(3), 312-316.
Blegen, M. A., Goode, C. J., Spetz, J., Vaughn, T., & Park, S. H. (2011). Nurse Staffing effects on patient
outcomes: Safety-net and Non-safety-net hospitals. Medical Care, 49(4), 406-414.
Chan, T. C., Killeen, J. P., Vilke, G. M., Marshall, J. B., & Castillo, E. M. (2010). Effect of mandated nurse
patient ratios on patient wait time and care time in the emergency department. Academic
Emergency Medicine, 17(5), 545-552.
Shekelle, P. G. (2013). Nurse-patient ratios as a patient safety strategy. Annals of Internal Medicine,
158(5), 404-410.
Twigg, D., Duffield, C., Thompson, P. L., & Rapley, P. (2010). The impact of nurses on patient morbidity and
10
mortality - the need for a policy change in response to the nursing shortage. Australian Health
Education
6-12mo
Hiring
12mo
Eval
18mo
House-wide
24mo
National Nurses United (2015). National campaign for safe RN-to-patient staffing ratios. Retrieved from
http://www.nationalnursesunited.org/issues/entry/ratios
Marquis, B.L., & Huston, C.J. (2015a), Leadership roles and management functions in nursing theory and
application (8th ed., p. 8). Philadelphia, PA: Wolters Kluwer health/ Lippincott Williams & Wilkins.
Twigg, D., Duffield, C., Thompson, P. L., & Rapley, P. (2010). The impact of nurses on patient morbidity
and mortality - the need for a policy change in response to the nursing shortage. Australian Health
Review, 34(3), 312-316.
11
References
Blegen, M. A., Goode, C. J., Spetz, J., Vaughn, T., & Park, S. H. (2011). Nurse staffing effects on
patient outcomes: Safety-net and non-safety-net hospitals. Medical Care, 49(4), 406-414.
Chan, T. C., Killeen, J. P., Vilke, G. M., Marshall, J. B., & Castillo, E. M. (2010). Effect of mandated
nursepatient ratios on patient wait time and care time in the emergency department. Academic
Emergency Medicine, 17(5), 545-552.
Institute for Healthcare Improvement.(2015). Clinical microsystem assessment tool. Retrieved from
http://www.ihi.org/resources/pages/tools/clinicalmicrosystemassessmenttool.aspx
Marquis, B.L., & Huston, C.J. (2015). Leadership roles and management functions in nursing theory
and application (8th ed., pp. 8, pp. 40-41, pp. 260-286, pp. 366, pp. 452-456, pp. 547).
Philadelphia, PA: Wolters Kluwer health/Lippincott Williams & Wilkins.
12
References
National Nurses United (2015). National campaign for safe RN-to-patient staffing ratios. Retrieved
from http://www.nationalnursesunited.org/issues/entry/ratio
Shekelle, P. G. (2013). Nurse-patient ratios as a patient safety strategy. Annals of Internal Medicine,
158(5), 404-410.
Twigg, D., Duffield, C., Thompson, P. L., & Rapley, P. (2010). The impact of nurses on patient
morbidity and mortality - the need for a policy change in response to the nursing shortage.
Australian Health Review, 34(3), 312-316.
Warren, N. (2012). Involving patient and family advisors in the patient and family-centered care
model. MEDSURG Nursing, 21(4), 233-239.
Youngwerth, J., & Twaddle, M. (2011). Cultures of interdisciplinary teams: How to foster good
dynamics. Journal of palliative medicine, 14(5), 650-654. doi: 10.1089/jpm.2010.0395
13