Abstract:Note: Questions compared using data from quarter 1 fiscal year 2009 (pre) to quarter 1 fiscal year 2010 (post) to evaluate outcomes. *P ≤ 0.05; + P ≤ 0.10.
“…33 This reduction in HAPU rate was similar to results reported by Ellis, 14 Sherrod et al, 18 and the Studer Group. However, a reduction of 4 HAPUs comparing pre-and postimplementation resulted in a cost avoidance of $172 720 ($43 180 × 4).…”
Structured hourly nurse rounding is an effective method to improve patient satisfaction and clinical outcomes. This program evaluation describes outcomes related to the implementation of hourly nurse rounding in one medical-surgical unit in a large community hospital. Overall Hospital Consumer Assessment of Healthcare Providers and Systems domain scores increased with the exception of responsiveness of staff. Patient falls and hospital-acquired pressure ulcers decreased during the project period.
“…33 This reduction in HAPU rate was similar to results reported by Ellis, 14 Sherrod et al, 18 and the Studer Group. However, a reduction of 4 HAPUs comparing pre-and postimplementation resulted in a cost avoidance of $172 720 ($43 180 × 4).…”
Structured hourly nurse rounding is an effective method to improve patient satisfaction and clinical outcomes. This program evaluation describes outcomes related to the implementation of hourly nurse rounding in one medical-surgical unit in a large community hospital. Overall Hospital Consumer Assessment of Healthcare Providers and Systems domain scores increased with the exception of responsiveness of staff. Patient falls and hospital-acquired pressure ulcers decreased during the project period.
“…The lack of education contributed to audit records not being filled out appropriately (Sherrod et al . ). Several studies cited that staff did not think they received enough education so they did not understand the concepts (Dix et al .…”
Section: Resultsmentioning
confidence: 97%
“…, Sherrod et al . , Braide , Shepard ). An interruption to workflow is a prime example of competing initiatives that contribute to the inability to perform hourly rounding consistently (Dean , Kessler et al .…”
Leaders can utilise this information to analyse and create successful options to overcome these barriers before, during and after the implementation process. Further studies are needed to identify targeted strategies to alleviate these barriers.
“…13 Hourly rounding also has been shown to reduce call bell usage; call-bell usage is associated with patient falls. 15 Further investigation into whether hourly rounding is a robust stand-alone fall prevention strategy is required. 15 Further investigation into whether hourly rounding is a robust stand-alone fall prevention strategy is required.…”
The active involvement of leadership and front-line staff in program design and as unit champions during the project run-in period was critical to significantly reducing inpatient fall rates and call bell use in an adult medical unit.
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