EP20EOb
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 b: Surgical Errors
Surgical errors 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. The nurse verifies the patient's name and the procedure they are going to have. The nurse is part of the time-out procedure where the team confirms that they are about to perform the correct procedure on the correct body part of the correct patient. The nurse participates in the surgery counts before and after procedures to ensure that no items are left behind in a patient. Nurse competency is validated for these operative or 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 EP20EOb-1, CHI SVHS Surgical Errors, Ambulatory Graph)