Annotated Bibliography
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- Date Submitted: 04/14/2012 02:29 PM
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Annotated Bibliography
Garza, C.: Six Sigma and change management: Reducing hospital-acquired pressure ulcers. Patient Safety and Quality Healthcare, Apr. 2006.
This paper provides a description of using the Six Sigma process for reducing the incidence of hospital-acquired pressure ulcers in an urban hospital setting. After identifying that there was an unacceptably high incidence rate of pressure ulcers, a multidisciplinary team began a Six Sigma project with the goal of reducing pressure ulcer incidence, increasing patient satisfaction, reducing specialty bed rental and supply costs, and reducing length of stay associated with full-thickness pressure ulcers. Through data collection it was noted that monthly prevalence and incidence audits were important for improving staff confidence and promoting a foundation for changes in wound management. Upper level nursing management supported the process and interventions such as improving nurse-to-nurse communication and implementing daily interdisciplinary rounds in the ICU. Also, nurse-to-nurse discussion of the Braden score and skin status were initiated. Another initiative was improving nurse-to-physician communication. Hospital-acquired pressure ulcers decreased, and the costs associated with pressure-ulcers were reduced by $150,000. The author point's out, that Six Sigma process, allowed significant change in patient-care outcomes while decreasing costs.
Kalisch B., Aebersold M. : Overcoming barriers to patient safety. Nursing
Economic 24(3): 143–148, 155, 2006.
In this article the authors discuss common barriers to patient safety on a typical patient care unit in an acute care hospital. The article is an excellent and concise overview of the challenges faced in hospitals overall and on nursing units in particular. The authors address the importance of development of core values that promote excellence and respect, and they challenge the premise that punitive consequences can lead to improved...
Garza, C.: Six Sigma and change management: Reducing hospital-acquired pressure ulcers. Patient Safety and Quality Healthcare, Apr. 2006.
This paper provides a description of using the Six Sigma process for reducing the incidence of hospital-acquired pressure ulcers in an urban hospital setting. After identifying that there was an unacceptably high incidence rate of pressure ulcers, a multidisciplinary team began a Six Sigma project with the goal of reducing pressure ulcer incidence, increasing patient satisfaction, reducing specialty bed rental and supply costs, and reducing length of stay associated with full-thickness pressure ulcers. Through data collection it was noted that monthly prevalence and incidence audits were important for improving staff confidence and promoting a foundation for changes in wound management. Upper level nursing management supported the process and interventions such as improving nurse-to-nurse communication and implementing daily interdisciplinary rounds in the ICU. Also, nurse-to-nurse discussion of the Braden score and skin status were initiated. Another initiative was improving nurse-to-physician communication. Hospital-acquired pressure ulcers decreased, and the costs associated with pressure-ulcers were reduced by $150,000. The author point's out, that Six Sigma process, allowed significant change in patient-care outcomes while decreasing costs.
Kalisch B., Aebersold M. : Overcoming barriers to patient safety. Nursing
Economic 24(3): 143–148, 155, 2006.
In this article the authors discuss common barriers to patient safety on a typical patient care unit in an acute care hospital. The article is an excellent and concise overview of the challenges faced in hospitals overall and on nursing units in particular. The authors address the importance of development of core values that promote excellence and respect, and they challenge the premise that punitive consequences can lead to improved...