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A successful practice model for the OR.

P Ide1, C Fleming

  • 1Brigham and Women's Hospital, Boston, USA.

AORN Journal
|November 26, 1999
PubMed
Summary
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A new surgical patient care model integrating shared governance and teamwork facilitated a successful hospital accreditation visit. Implementing practice, quality improvement, and development councils is key for optimal patient outcomes.

Area of Science:

  • Healthcare Administration
  • Nursing Practice
  • Quality Improvement

Background:

  • Optimal surgical patient care requires effective practice models.
  • Accreditation processes necessitate robust frameworks for healthcare delivery.
  • Brigham and Women's Hospital utilized a combined approach for a successful Joint Commission visit.

Purpose of the Study:

  • To describe the implementation of a practice model combining shared governance and patient care teamwork.
  • To detail the structure and function of clinical practice, quality improvement, and development councils.
  • To highlight the importance of data sharing for establishing national nursing performance standards.

Main Methods:

  • Implementation of a practice model integrating shared governance and patient care teamwork.

Related Experiment Videos

  • Establishment and operationalization of clinical practice, quality improvement, and development councils.
  • Description of council membership criteria and functional roles.

    • Main Results:

    • The integrated practice model provided a framework for a successful Joint Commission on Accreditation of Healthcare Organizations visit.
    • Detailed explanation of council structures and functions for effective implementation.
    • Identified need for enhanced sharing of quality improvement data among hospitals.

    Conclusions:

    • A combined model of shared governance and patient care teamwork can optimize surgical patient care.
    • Structured councils are essential for implementing and managing practice improvements.
    • National standards for nursing performance measurement require greater inter-hospital data sharing.