title: Tel-eNursing practice: setting standards for practice across the continuum of care.
abstract: What was thought to be a quick and limited quality performance improvement (QPI) project between a few departments providing telephone nursing services became an involved organization-wide QPI project to standardize telephone practice. Initially, telephone nursing practice, expanded roles of nurses, and extent of healthcare professionals using the telephone to provide care from afar were not well understood. Lack of standardization and quality and risk management issues were identified. The Good Samaritan Community Healthcare QPI plan of action provided the roadmap to standardize telephone practice across the organization. Many leadership challenges occurred along the road to QPI for telephone practice, as caution signs were acknowledged, hills were climbed, and corners maneuvered.
authors.affiliation: Health Systems Analysis, 191, 3106 Sumner Tapps Highway East, Suite A, Sumner, WA 98390, USA. consultnurse@hotmail.com
authors.forename: Margaret L
authors.initials: ML
authors.lastname: Larson-Dahn
mesh_terms: D006801:Humans; D007255:Information Services / Q000592:standards*; D009729:Nursing / Q000592:standards*; D011785:Quality Assurance, Health Care / Q000592:standards; D019114:Remote Consultation; D013689:Telephone; D014861:Washington