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Improving Nursing Quality Through Peer Review. EBP Use and Implementation Valerie Philpot, CCRN. OBJECTIVES. Understand concept of development of Nursing Quality Council (NQC) Recognize contributions of a NQC Construct and gain support for your own NQC. Mayo Regional Hospital.
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Improving Nursing Quality Through Peer Review EBP Use and Implementation Valerie Philpot, CCRN
OBJECTIVES Understand concept of development of Nursing Quality Council (NQC) Recognize contributions of a NQC Construct and gain support for your own NQC. Mayo Regional Hospital
Ensuring Competent Nurses Mayo Regional Hospital
What is PEER REVIEW Mayo Regional Hospital • Ongoing monitoring and review of a nurse’s work within the healthcare setting • Identify documentation issues • Identify nursing care issues • Identify system issues
Building the Culture Mayo Regional Hospital • Shared governance • Defining roles and responsibilities • Policy development • Case Identification • Educate nurses, providers, and administration • Standardization
Our Accomplishments Mayo Regional Hospital • Identified system issues • Identified nurse’s individual weaknesses and coach to correct • Identify Improvement Indicators: structure, process, outcome • Identify performance issues • “It’s the best meeting I go to!”
Bumps in the Road Mayo Regional Hospital • Nurses not sure how to review a chart • Tweaking forms to our facility • Structure of meetings • Several different electronic medical records PLUS paper chart • What do we want to review on EVERY chart we look at (standard quality indicators) • Work in progress…
REFERENCES: Mayo Regional Hospital • Harrington, Laura and Smith, Marla. (2009). Nursing Peer Review: A practical approach to promoting nursing accountability. HCPro, Inc. Marblehead, MA • Haag-Heitman and George, Vicki. (2011). Peer Review in Nursing: Principles for Successful Practice. Jones and Barlett Publishing. Sudbury, MA. • Bry, Karen; Stettner, Barbara; and Marks, Jann. (2006) Patient Safety: Through the Eyes. Nursing Management. June, p 20-24. • Haines, Stuart; Ammann, Rhonda; Beehrle-Hobbs, Donna; and Groppi, Julie. (2010). Protected professional practice evaluation: A continuous quality-improvement process. American Journal of Health-System Pharmacy. Vol 67. Nov 15, 2010. p1933-1940. • Pederson, Anne; Crabtree, Tricia; and Ortiz-Tomel, Tammy. (2004). Implementation of the Peer Review Council. MedSurg Nursing. Vol 12/ No. 3. p172-175.
REFERENCES: Mayo Regional Hospital • To the, Kate and McKey, Colleen. (2010). Identifying the potential organizational impact of an educational peer review program. International Journal for Academic Development. Vol 15, No 1, p 73-83. • Florin, Jan; Ehrenberg, Anna; and Ehnfors, Margareta. (2005). Quality of Nursing Diagnosis: Evaluation of an Education Intervention. International Journal of Nursing Terminology and Classifications. Vol 36, No 2, p 33-43 • Johnson, David and Lord, Ellis. (2010). Paring peer review. Tennessee Bar Journal. November 2010, p 20-29.