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Development of a Safety Dashboard
Session Abstracts
JOURNAL OF RADIOLOGY NURSING
drainage by collaterals. 4D MR venography is a reliable means of estimating central venous thrombosis in children, and requires modification of the standard technique of contrast-enhanced MR angiography. Objectives are as follows: Objective 1: To describe a technique of first-pass MR venography in children using simultaneous bilateral upper and lower extremity injection of diluted gadolinium contrast followed by dynamic 3D MR angiography using high temporal and spatial resolution. Objective 2: To educate the nurse on the importance of the site of peripheral intravenous placement. Objective 3: To educate nurses on the contrast injection protocol and the nursing implication. Objective 4: To describe a technique of firstpass MR venography in children using simultaneous bilateral upper and lower extremity injection of diluted gadolinium contrast followed by dynamic 3D MR angiography using high temporal and spatial resolution (4D MRV). Objective 5: To educate the nurse on the importance of the site of peripheral intravenous placement. Development of a Dashboard to Improve Safety in the Imaging Setting Laura Joseph, MSN, MBA-HCM, CCRN, RN Patient Safety Officer, Johns Hopkins Hospital, Baltimore, MD Co-Presenter: Ronald Langlotz, MSN, RN Safety initiatives have accelerated since the Institute of Medicine (IOM) reported that almost 98,000 individuals die annually from medical errors. Research concludes that the best way to prevent these errors from occurring is to focus on organizational systems and the culture within these systems. To execute a culture of safety and improvement transparency is essential. The development of a dashboard would educate imaging staff about quality and safety measures, encourage best practice adoption for the highest quality of care, and provide a medium for transparency. Through this open sharing, accountability and trust increases, leading to a safer organization. Method: The dashboard is created in a collaborative effort of nurses, physicians, and technologists. Metrics were identified that could guide the imaging setting in measuring safe and high-quality care, including metrics from clinical practice and patient safety. The dashboard includes definitions based on the source of the metric. The dashboard will assist the imaging staff to monitor trends over time and to assess areas of success and areas that needs improvement. Results: The dashboard stimulated discussion and sharing of best practices within the imaging setting. The dashboard facilitated increased transparency and 104
education of the imagining staff about quality and safety measures. Objective is as follows: To demonstrate how development of a safety dashboard to improve safety in the imaging setting can be achieved and sustained. Development of a Safety Dashboard Ronald Langlotz, MSN, RN Nurse Manager, The Johns Hopkins Hospital, Baltimore, MD As the Assistant Director of Nursing, I am constantly looking to improve communication to the staff regarding patient safety within Radiology. We routinely look at certain data: falls, contrast reactions, extravasations, and documentation compliance. This data is routinely maintained internally; however, we decided to capture multiple clinical criteria to develop a safety dashboard and benchmark our data with other facilities. Our dashboard is easy to use and provides a snapshot of our safety measures. Objective is as follows: Create a safety benchmark for radiology nursing. Parental Presence for Interventional Procedures. Some say yes, Some say no!
Radiology
Michelle Niewinski, BSN, RN, CPN RN Interventional Radiology, Children’s Hospital of Philadelphia, Mullica Hill, NJ The evolution of the concept of family-centered care has prompted our pediatric Interventional Radiology Department (IR) to evaluate the benefits of parental presence during procedures. It remains a controversial issue among our staff, and with the assistance of our child life specialists we have begun to incorporate this model of care with our gastroenteric tube patient population. A survey of our staff taken six months after implementation revealed both credible arguments supporting parental presence during these procedures as well as opposing arguments. In addition to staff input, our child life specialists also elicited feedback from the patients’ parents, who reported this as a significant improvement in their child’s care during their Interventional Radiology visit. We must consider all views in order to create a patient care model that meets the needs of the patients/parents, staff, and the mission statement of our institution. This poster will present an overview of the project roll-out, an objective review of the data obtained, and our plans moving forward with increasing parental presence for eventually all IR procedures. Objective is as follows: The viewer will appreciate that parental presence promotes the family-centered care model and
www.radiologynursing.org
JUNE 2013
JOURNAL OF RADIOLOGY NURSING
drainage by collaterals. 4D MR venography is a reliable means of estimating central venous thrombosis in children, and requires modification of the standard technique of contrast-enhanced MR angiography. Objectives are as follows: Objective 1: To describe a technique of first-pass MR venography in children using simultaneous bilateral upper and lower extremity injection of diluted gadolinium contrast followed by dynamic 3D MR angiography using high temporal and spatial resolution. Objective 2: To educate the nurse on the importance of the site of peripheral intravenous placement. Objective 3: To educate nurses on the contrast injection protocol and the nursing implication. Objective 4: To describe a technique of firstpass MR venography in children using simultaneous bilateral upper and lower extremity injection of diluted gadolinium contrast followed by dynamic 3D MR angiography using high temporal and spatial resolution (4D MRV). Objective 5: To educate the nurse on the importance of the site of peripheral intravenous placement. Development of a Dashboard to Improve Safety in the Imaging Setting Laura Joseph, MSN, MBA-HCM, CCRN, RN Patient Safety Officer, Johns Hopkins Hospital, Baltimore, MD Co-Presenter: Ronald Langlotz, MSN, RN Safety initiatives have accelerated since the Institute of Medicine (IOM) reported that almost 98,000 individuals die annually from medical errors. Research concludes that the best way to prevent these errors from occurring is to focus on organizational systems and the culture within these systems. To execute a culture of safety and improvement transparency is essential. The development of a dashboard would educate imaging staff about quality and safety measures, encourage best practice adoption for the highest quality of care, and provide a medium for transparency. Through this open sharing, accountability and trust increases, leading to a safer organization. Method: The dashboard is created in a collaborative effort of nurses, physicians, and technologists. Metrics were identified that could guide the imaging setting in measuring safe and high-quality care, including metrics from clinical practice and patient safety. The dashboard includes definitions based on the source of the metric. The dashboard will assist the imaging staff to monitor trends over time and to assess areas of success and areas that needs improvement. Results: The dashboard stimulated discussion and sharing of best practices within the imaging setting. The dashboard facilitated increased transparency and 104
education of the imagining staff about quality and safety measures. Objective is as follows: To demonstrate how development of a safety dashboard to improve safety in the imaging setting can be achieved and sustained. Development of a Safety Dashboard Ronald Langlotz, MSN, RN Nurse Manager, The Johns Hopkins Hospital, Baltimore, MD As the Assistant Director of Nursing, I am constantly looking to improve communication to the staff regarding patient safety within Radiology. We routinely look at certain data: falls, contrast reactions, extravasations, and documentation compliance. This data is routinely maintained internally; however, we decided to capture multiple clinical criteria to develop a safety dashboard and benchmark our data with other facilities. Our dashboard is easy to use and provides a snapshot of our safety measures. Objective is as follows: Create a safety benchmark for radiology nursing. Parental Presence for Interventional Procedures. Some say yes, Some say no!
Radiology
Michelle Niewinski, BSN, RN, CPN RN Interventional Radiology, Children’s Hospital of Philadelphia, Mullica Hill, NJ The evolution of the concept of family-centered care has prompted our pediatric Interventional Radiology Department (IR) to evaluate the benefits of parental presence during procedures. It remains a controversial issue among our staff, and with the assistance of our child life specialists we have begun to incorporate this model of care with our gastroenteric tube patient population. A survey of our staff taken six months after implementation revealed both credible arguments supporting parental presence during these procedures as well as opposing arguments. In addition to staff input, our child life specialists also elicited feedback from the patients’ parents, who reported this as a significant improvement in their child’s care during their Interventional Radiology visit. We must consider all views in order to create a patient care model that meets the needs of the patients/parents, staff, and the mission statement of our institution. This poster will present an overview of the project roll-out, an objective review of the data obtained, and our plans moving forward with increasing parental presence for eventually all IR procedures. Objective is as follows: The viewer will appreciate that parental presence promotes the family-centered care model and
www.radiologynursing.org
JUNE 2013