1. Shared Governance to Drive an Improved Work Environment
Grace Chun, MSN, RN;
Louie Jamir, BSN, RN;
Hope Pizzarusso, BSN, RN;
Southern California/Irvine Medical Center
PROCESS
CONCLUSION
PURPOSE
Structure
Irvine Safety Council Includes: Fall Prevention, Safe Patient Handling, Workplace Safety, and TeamSTEPPS
Manager and Staff Co-Lead for Each Sub-Committee
“Exemplar” to Guide Member Activities and Expectations
Strategies
Engaged Clinical Staff in Conducting Safety Conversations
Peer to Peer Feedback on Use of Safe Patient Handling Equipment
Bedside Competencies Completed by Frontline Staff Champions Annually
Reward and Recognition: Ice Cream Social, On-the-spot Recognition, Daily Huddle Spotlight, Unit Competition
Through ensuring an aligned and engaged structure, the nursing staff and interdisciplinary colleagues were able to drive improved outcomes.
Injury Incidence Rate Decreased From a High of 1.60 to 0.54
Accepted Claim Rate Decreased From a High of 2.09 to 1.09
Nurse Engagement : National Survey Includes 6 SPH Questions:
KP Irvine Outperformed National Benchmark in All 6 Questions
Trended Improvement From 2015 to 2016
Irvine Medical Center will reduce patient handling injuries by 50% in all inpatient nursing units including the Emergency Department for 2016 in preparation of a future goal of zero patient handling injuries.
Background
ANA Code of Ethics1:
Provision 5.2: Promotion of Personal Health, Safety, and Well-Being
Provision 6.3: Responsibility for the Health Care Environment
Maximize the Impact of the KP Professional Practice Model on All Nursing Systems and Processes:
Shared Governance Structure Formalization:
Define Oversight Structures
Align Committees with Defined Area of Focus
Eliminate Silos and/or Unserviceable Redundancy
Establish Staff Co-Lead
Articulate Expectations for Committee Members
Create Transparency of Contributions and Impact
FUTURE PLANS
Evolve and Continue Development of the Co-Leads within Their Roles
Hardwire Culture of “Speaking Up”
Realize Improvements of the Safety Index as Defined by the PeoplePulse Survey
TeamSTEPPS: Continue Implementation with Interdisciplinary Colleagues
American Nurses Association. (2015). Code of Ethics for Nurses with Interpretive Statements (3rd ed.). Silver Spring, Maryland: American Nurses Association