Change in the hospital setting: adopting a team approach for nonorganic failure-to-thrive.
The change process is described for the adoption of a multidisciplinary team approach to nonorganic failure-to-thrive (NOFTT) management at a pediatric care facility. A member of the nursing staff acted as a change agent. The need for change was documented with medical record audits. A team was developed and a management protocol derived from an external evaluation of successful programs described in the literature. Preliminary outcomes of the project are reported. Box 1 at the end of this article contains criteria for NOFTT diagnosis and an outline of the team's protocol.
MacPhee
M
M
Children's Hospital of Denver, CO 80218.
Mori
C
C
Goldson
E
E
D002648:Child; D002985:Clinical Protocols; D005183:Failure to Thrive / Q000175:diagnosis / Q000628:therapy*; D006776:Hospitals, Pediatric / Q000458:organization & administration*; D006801:Humans; D008485:Medical Audit; D009936:Organizational Innovation; D017063:Outcome Assessment, Health Care; D010347:Patient Care Planning / Q000458:organization & administration*; D010348:Patient Care Team / Q000458:organization & administration*; D011367:Professional Staff Committees / Q000458:organization & administration; D014152:Transactional Analysis; D014600:Utilization Review