Standardize Safety & Quality: Enculturation of Evidence Based "Bundles" into daily practice to improve patient outcomes

Purpose:
Staff receive an enormous amount of content related to evidence based inititatives. In order to assist with enculturation and ensure standardization of proactive by use of evidence bundles, tools needed to be created and adopted to provide readily available references while providing daily pt care.

Significance:
Creating "WOW" Pt Experience is essential in reducing harm, improving care, and providing pt, family, and staff satisfaction. Engagement of the healthcare team and inclusion of bedside staff creates partnerships and accountable for both compliance and evidence based improvements and best practices.

Strategy and Implementation:
Quick reference bundle cards, "slim jims" were created for four patient focused initiatives. Hand Hygiene and Patient Identification were put into practice simultaneously through interdisciplinary participation and three vital behaviors including 200% accountability and recognition for compliance. Service Excellence centered on "Best Practices" related to HCAHPS specifically in areas of nursing communication, responsiveness, hospital environment, pain and discharge information. Patient outcomes included Nurse-sensitive metrics and hospital acquired infection bundles. The cards were immediately adopted as they provide a large pocket size daily reference to allow enculturation into daily practice. Introduction of "slim jim" material took place at a variety of venues and at all levels of nursing leadership. Processes were configured for use in both inpatient and outpatient areas as appropriate. Continuity was established for distribution, display, utilization, and access in all locations.

Evaluation:
Through rounding on units and discussing the unit metrics with bedside staff, they are able to describe their impact in trending, and how consistent use of references provides confidence in achieve postive outcomes. Staff engagement is evaluated with safety and quality focused questions on surveys.

Implications for Practice:
Through creation and adoption of useful reference tools that incorporate evidence based practice, staff are able to improve patient outcomes and reduce harm. Partnering with the interdisciplinary team for all initiatives increases awareness and decrease communication breakdown.