RESUMO
Consumers are driving outcomes in healthcare. In children's hospitals, the consumers are the parents and the patients. This article describes the process undertaken to respond to parents' requests to be present during the induction of anesthesia in their child. The process of changing long-standing practices in a complex organization undergoing major change in becoming a children's hospital is described in detail.
Assuntos
Anestesia/psicologia , Pais/psicologia , Participação do Paciente , Pediatria/organização & administração , Visitas a Pacientes/psicologia , Arizona , Criança , Criança Hospitalizada , Documentação , Previsões , Hospitais Comunitários , Hospitais Pediátricos , Humanos , Recursos Humanos de Enfermagem Hospitalar/educação , Inovação Organizacional , Política Organizacional , Pais/educação , Participação do Paciente/métodos , Participação do Paciente/psicologia , Enfermagem Pediátrica/educação , Enfermagem Pediátrica/organização & administração , Cuidados Pré-Operatórios/métodos , Cuidados Pré-Operatórios/psicologia , Materiais de Ensino , Visitas a Pacientes/educaçãoRESUMO
The authors describe the evolution of a pediatric quality management program in a large community hospital that has rapidly grown in size and complexity to be a tertiary care center. Positive changes in senior leadership expectations, physician involvement, and training in performance improvement methodologies contributed to the development of a more comprehensive program. The authors from several specialty areas of the pediatric service illustrate three quality and performance improvement projects that they used in coping with the challenges of fast growth and higher acuity.