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3 September 2009 - Brisbane

TCAB : Patient Centred Care Presenter: Jacelle Gorman Hospital: Eagle Contact person: Ian J Ross, 32402132 IanJ_Ross@health.qld.gov.au. 3 September 2009 - Brisbane. KEY PROBLEMS. High patient acuity with low staff satisfaction and morale.

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3 September 2009 - Brisbane

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  1. TCAB : Patient Centred CarePresenter: Jacelle GormanHospital: EagleContact person: Ian J Ross, 32402132IanJ_Ross@health.qld.gov.au 3 September 2009 - Brisbane

  2. KEY PROBLEMS • High patient acuity with low staff satisfaction and morale. • Model of care: Patient allocation, with a high number of falls and other adverse events. • Transient leadership: often difficult to find relief • Limited opportunity for education. Reference: Ross, Ian J. 2009, Transforming Care at the Bedside (TCAB) NAC, Princess Alexandra Hospital, Queensland Health, Brisbane, Australia. &file

  3. AIM OF THIS PROJECT Improvements sought. • To increase patient and staff satisfaction. • To provide an optimal staff working environment. Where ? By When? 3 Internal medical wards December 2008 Resources • Project Officer for 3 months • Education • Conference and workshops &file

  4. Key Changes Implemented Communication interventions • AIDET • SBAR: situation, background, assessment, request/recommendation. • Scrumming : every 2 hours meet to review work plan and up-date workgroup. • Bedside Handover • Rounding: hourly interaction with patients on specific nursing actions. &file

  5. Model of care: Practice Partnership with skill-mix change and ? A group of two nurse work together to care for a cohort of patients. The number of patients cared for by a POD may change from shift to shift depending on skill-mix Always used in conjunction with previous communication strategies. Key Changes Implemented &file

  6. OUTCOMES SO FAR 2. There has been a 16.6% reduction in falls &file

  7. OUTCOMES SO FAR 3.Levelsof staff satisfaction associated with TCAB implementation very positive. Source . Newman, Fiona & Shaban, Ramon. (2009). Staff satisfaction and Transforming Care at the Bedside within the Internal Medicine Unit of the Princess Alexandra Hospital, Princess Alexandra Hospital, Queensland Health, Brisbane, Australia. 4 . Sustained improvement organisational culture reflected in BPA surveys Source Best Practice Australia (2009). BPA Survey Princess Alexandra Hospital, Best Practice Australia PTY, LTD, Milton. &file

  8. Lessons Learnt • Executive support imperative • More planning time • Communicate with stakeholders • Ownership strategies for clinical staff • Ongoing engagement and consultation • Over estimate timeframes • Targeted education &file

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