Applying Performance Improvement Tools
Essay 7
Applying Performance Improvement Tools Essay 7
Imagine that, for about a year, your nursing unit has been involved
in an intensive campaign to improve patient satisfaction scores
with pain management. You are getting good data from your
patients, as the length of stay on this inpatient geriatric medical
nursing unit is only about 6 days. Your hospital does 100% survey
to inpatients, and the response rate is about 25%, which is higher
than it has been. This notwithstanding, the percent of “patient very
satisfied” (top box), with a score of 5, has been in the low 70s. The
national benchmark for medical surgical units like yours is about
85% very satisfied. Of all the units in your hospital, your unit is the
lowest scoring on this HCAPHS survey. But as your unit is the only
geriatric medical nursing unit in the hospital, you’d always thought
it was the nature of the patient population.
You have been the day shift representative to the QI team, and the
scores on your unit are posted monthly. Here are the numerous
strategies that have been tried on your unit and the timeframes.
The discussion must include:
For this Discussion, examine the strategies and interventions tried
in your unit and consider the following questions: a) Were the
strategies effective in creating a sustainable change on your

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