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ICU Area targeted for improvement: Overall Quality and Communication Action Steps Improvements to MSICU/CVICU Medical Staff Communication policy - to be reviewed with Medical Staff Leadership Review ICU Outcomes with applicable medical and surgical services Teamwork Area targeted for improvement: How well nurses, doctors and other staff work together as a team Action Steps TeamSTEPPS program to be expanded house-wide Nursing Units Areas targeted for improvement: Overall Quality Action Steps Review outcomes and receive feedback from nursing leadership, chiefs and top 5-8 MD groups to determine areas of success/opportunity Develop action plans based on feedback Treatment of Family Area targeted for improvement: How effective and sensitively families are handled throughout their interaction with the hospital Action Steps Share results with Care Coordination team Align action plan with implemented AIDET program Efficiency of Hospital Operations Area targeted for improvement: Providing efficient services such as test turnaround and timely patient transfer Action Steps Identify opportunities to move inpatient testing closer to or on inpatient units Implement/expand “enterprise wide” electronic test and treatment scheduling system to provide real time department schedules to patient floors Upkeep Area targeted for improvement: Upkeep of the facility, including cleanliness and maintenance Action Steps Multiple initiatives in place to increase overall cleanliness and improve consistency..
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