EP20EOa
Culture of Safety EP20EO
Provide three nurse-sensitive clinical quality indicators for all eligible ambulatory care settings. Data provided must reflect the most recent eight consecutive and complete quarters of ambulatory care setting graphed data to demonstrate outperformance of the benchmark provided by the vendor’s national database or at the highest available level.
At least two of the ambulatory nurse-sensitive clinical quality indicators presented must be nationally benchmarked.
- An explanation must be included for how the selected clinical indicator is nurse sensitive in the organization.
- An explanation must be included describing the benchmark used if there is no national benchmark.
- There may be no more than two decimal places presented, in addition there may be no rounding applied.
Example a: Patient Burns
Patient burns are a nurse sensitive clinical indicator at Catholic Health Initiatives (CHI) St. Vincent Hot Springs (SVHS) as a nurse is present during a patient’s entire operative or invasive procedure experience. The nurse provides safe, quality patient care in the operative or procedure areas. Nurses are responsible for applying the grounding pads and adhering them properly to the patient. Nurses are constantly looking for flames, fires, or sparks that could lead to patient burns. Nurses ensure equipment is in proper working order before procedures take place reporting frayed wires or other technical issues to appropriate facility personnel. Nurses also wait for alcohol preps to dry, avoid tenting surgical drapes when oxygen is in use, and holster cautery pencils after use.
Nurse competency is validated for these procedure areas. Patient care is dynamic in nature, and it requires effective nursing clinical knowledge, judgment and clinical-reasoning skills. Administrative and collegial support, and effective relationships with physicians and surgeons, contribute to the nurses’ ability to provide safe, quality patient care in the operative or procedural areas.
(Evidence EP20EOa-1, CHI SVHS Patient Burns, Ambulatory Graph)