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Improving Nursing Quality Through Peer Review. EBP Use and Implementation Valerie Philpot, CCRN. OBJECTIVES. Understand concept of development of Nursing Quality Council (NQC) Recognize contributions of a NQC Construct and gain support for your own NQC. Mayo Regional Hospital.

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improving nursing quality through peer review

Improving Nursing Quality Through Peer Review

EBP Use and Implementation

Valerie Philpot, CCRN

objectives

OBJECTIVES

Understand concept of development of Nursing Quality Council (NQC)

Recognize contributions of a NQC

Construct and gain support for your own NQC.

Mayo Regional Hospital

ensuring competent nurses
Ensuring Competent Nurses

Mayo Regional Hospital

what is peer review
What is PEER REVIEW

Mayo Regional Hospital

  • Ongoing monitoring and review of a nurse’s work within the healthcare setting
    • Identify documentation issues
    • Identify nursing care issues
    • Identify system issues
building the culture
Building the Culture

Mayo Regional Hospital

  • Shared governance
  • Defining roles and responsibilities
  • Policy development
  • Case Identification
  • Educate nurses, providers, and administration
  • Standardization
our accomplishments
Our Accomplishments

Mayo Regional Hospital

  • Identified system issues
  • Identified nurse’s individual weaknesses and coach to correct
  • Identify Improvement Indicators: structure, process, outcome
  • Identify performance issues
  • “It’s the best meeting I go to!”
bumps in the road
Bumps in the Road

Mayo Regional Hospital

  • Nurses not sure how to review a chart
  • Tweaking forms to our facility
  • Structure of meetings
  • Several different electronic medical records PLUS paper chart
  • What do we want to review on EVERY chart we look at (standard quality indicators)
  • Work in progress…
references
REFERENCES:

Mayo Regional Hospital

  • Harrington, Laura and Smith, Marla. (2009). Nursing Peer Review: A practical approach to promoting nursing accountability. HCPro, Inc. Marblehead, MA
  • Haag-Heitman and George, Vicki. (2011). Peer Review in Nursing: Principles for Successful Practice. Jones and Barlett Publishing. Sudbury, MA.
  • Bry, Karen; Stettner, Barbara; and Marks, Jann. (2006) Patient Safety: Through the Eyes. Nursing Management. June, p 20-24.
  • Haines, Stuart; Ammann, Rhonda; Beehrle-Hobbs, Donna; and Groppi, Julie. (2010). Protected professional practice evaluation: A continuous quality-improvement process. American Journal of Health-System Pharmacy. Vol 67. Nov 15, 2010. p1933-1940.
  • Pederson, Anne; Crabtree, Tricia; and Ortiz-Tomel, Tammy. (2004). Implementation of the Peer Review Council. MedSurg Nursing. Vol 12/ No. 3. p172-175.
references9
REFERENCES:

Mayo Regional Hospital

  • To the, Kate and McKey, Colleen. (2010). Identifying the potential organizational impact of an educational peer review program. International Journal for Academic Development. Vol 15, No 1, p 73-83.
  • Florin, Jan; Ehrenberg, Anna; and Ehnfors, Margareta. (2005). Quality of Nursing Diagnosis: Evaluation of an Education Intervention. International Journal of Nursing Terminology and Classifications. Vol 36, No 2, p 33-43
  • Johnson, David and Lord, Ellis. (2010). Paring peer review. Tennessee Bar Journal. November 2010, p 20-29.