The new admission form was to be completed for every adult patient that was admitted to the hospital through the emergency department. Embedded within the eight-page admission form, was a nutritional screening tool that was intended only for patients to assess their nutritional risk. The nutrition tool involved nurses asking patients to answer seven nutrition related questions as well as obtaining the patent’s height and weight. Height and weight were required for the admission nurse to manually calculate a patient’s body mass index (BMI). Only three nursing education sessions were scheduled to train staff on the nutrition screening tool along with five other electronic hospital forms, over the course of a three-day period. As part of the roll out plan, access to designated forms was secured to allow only specific healthcare professionals to have read and write access. This access depended on their clinical area and job functions. The Registered Dietitians (RD) could not assist in completing this nutrition screening tool as they did not have access to the nurse admission form.
Chart audits by the IT department were conducted and revealed that this nutrition screening tool was not being filled out completely or accurately by nursing staff (North York General Hospital, 2012).
By eliminating the nutrition screening tool and piloting a new MST (Appendix D), the NYGH aims to: 1) improve and promote quality, safety, efficiency and communication for health care providers which results in improved patient care outcomes; 2) identify all adult patients that are admitted to orthopedic and geriatric units that are high-risk for malnutrition; 3) promote and educate NYGH staff on the importance of identifying malnutrition; 4) utilize ...
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...sted to be project “communication champions” on their unit. They will create excitement amongst the team surrounding this change and be available to answer any questions or concerns. They will also provide feedback to the project steering committee related to the implementation and any unidentified risks.
To ensure the tool is easily accessible to staff, it will be on all existing computer terminals including the COWs. These can be wheeled to the patient’s bedside to prevent distractions and noise (Mirkovic, Kaufman, & Ruland, 2014). To decrease the risk of musculoskeletal injuries and to ensure proper ergonomics, the COWs are height adjustable and fitted with ergonomic keyboard and mouse (Khan, Surti, Rehman, & Ali, 2012).
Through the development of the FMEA, risks have been identified and evidence-based solutions put in place to ensure the project’s success.
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