RESUMO
Our city was significantly impacted by the initial COVID-19 outbreak in the United States. We describe how members of our Quality and Safety team were able to leverage skills in relational coordination and process improvement to respond to rapidly changing needs in a flexible and effective way.
Assuntos
COVID-19 , Equipe de Assistência ao Paciente , Humanos , COVID-19/epidemiologia , Alfabetização , Estados Unidos/epidemiologiaRESUMO
Responding to a healthcare crisis such as COVID-19 requires a practiced, nimble incident command structure. Our medical center is in one of the areas in the US that was hardest hit by the initial wave. Effective leadership of incident command was critical in our response.
Assuntos
COVID-19 , Pandemias , Hospitais , Humanos , Liderança , SARS-CoV-2RESUMO
The Greater Boston Nursing Collective, a consortium composed of university nursing deans and chief nursing officers within academic medical centers and specialty hospitals in Boston, Massachusetts, was formed in 2014. Since the group's inception, our mission has been to create and reinforce whole-person/whole-system healing environments to improve the health of all communities. Through our collaboration in navigating the dual epidemics of COVID-19 and structural racism within our respective organizations, and across the United States and the world, we share experiences and lessons learned. Our common mission is clearer than ever: to create safe and joyful work environments, to protect the dignity of those we are privileged to serve, and to generate policies to advance health equity to rectify societal forces that have shaped this dual epidemic. We are humbled by the many who persist despite limited rest and respite, and whose stories, innovations, and leadership we are honored to witness and share. They have defined our generation, just as nurses in earlier crises have done: leading through service to others as our purpose and privilege.
Assuntos
Liderança , Enfermeiros Administradores/psicologia , Pandemias , Boston , Cuidadores/psicologia , Cuidadores/tendências , Humanos , Enfermeiros Administradores/tendências , Estados Unidos , Local de Trabalho/psicologia , Local de Trabalho/normasRESUMO
A daily management system (DMS) can be used to implement continuous quality improvement and advance employee engagement. It can empower staff to identify problems in the care environment that impact quality or work flow and to address them on a daily basis. Through a DMS, improvement becomes the work of everyone, every day. The authors of this 2-part series describe their work to develop a DMS. Part 2 describes the implementation and outcomes of the program.
Assuntos
Implementação de Plano de Saúde/métodos , Avaliação de Resultados em Cuidados de Saúde , Melhoria de Qualidade/organização & administração , Engajamento no Trabalho , Humanos , Cultura Organizacional , Melhoria de Qualidade/normasRESUMO
A daily management system (DMS) can be used to implement continuous quality improvement and advance employee engagement. It can empower staff to identify problems in the care environment that impact quality or workflow and to address them on a daily basis. Through DMS, improvement becomes the work of everyone, every day. The authors of this 2-part series describe their work to develop a DMS. Part 1 describes the background and organizing framework of the program.