ABSTRACT
Predictable and unpredictable patient care tasks compete for caregiver time and attention, making it difficult for patient care staff to reliably and consistently meet patient needs. We have piloted a redesigned care model that separates the work of patient care technicians based on task predictability and creates role specificity. This care model shows promise in improving the ability of staff to reliably complete tasks in a more consistent and timely manner.
Subject(s)
Models, Nursing , Models, Organizational , Nursing Care/organization & administration , Nursing Staff, Hospital/organization & administration , Task Performance and Analysis , Workflow , Attention , Efficiency, Organizational , Hospital Units/organization & administration , Humans , Nurse's Role , Nursing Administration Research , Nursing Evaluation Research , Patient Safety , Pilot ProjectsABSTRACT
The most common quality improvement methodologies used in healthcare involve repetitive testing of ideas for rapid-cycle quality improvement. They typically take place over weeks or months, as identification of problems and root causes and tests of change occur. The authors describe an alternative approach to care delivery redesign, which reduces the time frame of problem identification and implementation of tests of change from weeks or months to days.
