Rapid cycle change projects improve quality of care.
Transforming Care at the Bedside program was developed as a way to improve care on medical-surgical units, patients' and family members' experience of care, and teamwork among care team members and to increase satisfaction and retention of nurses. Average turnover rates for this program's RNs decreased to about 3%, a 58% reduction in rate. The time RNs spent in direct patient care increased 10% compared to the control unit, and value-added care also increased from 10% to 15% over baseline. Patient and staff satisfaction improved.
Valente
Sharon
S
Department of Veterans Affairs, Los Angeles, California 90073, USA. sharon.valente@med.va.gov
D022143:Family Nursing / Q000458:organization & administration / Q000592:standards; D006787:Hospitals, Veterans / Q000458:organization & administration / Q000592:standards; D006801:Humans; D007588:Job Satisfaction; D015141:Los Angeles; D009741:Nursing Staff, Hospital / Q000523:psychology / Q000592:standards*; D009746:Nursing, Team / Q000458:organization & administration / Q000592:standards*; D009937:Organizational Objectives; D017060:Patient Satisfaction; D010558:Personnel Loyalty; D015397:Program Evaluation; D013647:Task Performance and Analysis; D017749:Total Quality Management / Q000379:methods / Q000458:organization & administration*