Decreasing Infections, preventing falls and improving care have proven to be the formula for success for six hospitals around the country upon which the American Nurses Association this week bestowed its NDNQI Award for Outstanding Nursing Quality.
The award winners participate in ANA's National Database of Nursing Quality Indicators (NDNQI) at https://www.nursingquality.org/, widely held as the nation's most comprehensive database of nursing performance measures. The six hospitals to receive the award include:
Robert Wood Johnson University Hospital
This academic medical center in Brunswick, NJ, reduced its patient falls rate by more than 50% for a unit with adults with cardiac-related diseases combined with other conditions. Staff performed "safety huddles" beginning each shift to identify risks and implemented prevention strategies, such as bed alarms and risk mitigation during hourly nursing rounds.
Akron Children's Hospital Mahoning Valley
This pediatric hospital in Boardman, Ohio, decreased its blood stream infection rate for very low birth weight infants, a leading cause of disease and death for premature babies, by 30 percent by implementing evidence-based best practices for central venous catheter insertion and maintenance processes across its five neonatal sites.
Rose Medical Center
This teaching hospital in Denver significantly reduced ventilator-associated pneumonia, the leading cause of death resulting from hospital-acquired infections, from 17 cases in 2008-09 to just one case in 2011-12. The staff improved team-based oral care standards and implemented a series of interventions proven to reduce infection rates.
St. Francis Hospital - The Heart Center
This community hospital in Roslyn, NY, which cares for patients with cardiac medical problems and performs cardiac and vascular surgery, decreased the number of patients developing hospital-acquired pressure ulcers soon after surgery by 21% over six years.
Sharp Mesa Vista Hospital
This psychiatric hospital in San Diego had no incidences of physical restraints for four consecutive quarters and scored in the top 15% in patient satisfaction with nursing among NDNQI-participating hospitals.
Patients at this rehabilitation hospital in Englewood, Colo. include those with traumatic brain injury (TBI). The facility reduced its patient falls rate among this patient population 16% by instituting a policy requiring two staff members to transfer patients with TBI.
"Nurses recognize that our healthcare system is becoming more focused on performance standards and patient outcomes. That's how it should be, that's how nurses approach their work, and that's what this award is all about," says ANA President Karen A. Daley, PhD, RN, FAAN.
"Nurses have the power to influence a patient's hospital experience and, most importantly, their ultimate health outcome through their teamwork, innovation, leadership, and dedication," she adds. "The award winners show they have performed the best in that regard." Daley added.
The honorees were identified by researchers from among more than 1,900 hospitals - about one-third of U.S. hospitals - that report results to NDNQI and measure their performance against other NDNQI hospitals regionally, statewide, and nationwide.
According to ANA, the six awardees demonstrated superior results and sustained improvement in patient outcomes that are tied to the quality of nursing services and nurse work environment factors. A total of 17 clinical process and patient outcome measures are evaluated to determine overall quality.
The award winners' booklet, Hardwiring Quality for Superior Outcomes, is accessible online and provides more information on the hospitals' nursing performance improvement strategies.
NDNQI, a program of ANA's National Center for Nursing Quality [https://ana.confex.com/ana/ncnq10/cfp.cgi] tracks a broad range of outcomes that indicate the quality of nursing services, such as hospital-acquired pressure ulcers, patient falls, and infections. It also establishes links between patient outcomes and nurse staffing characteristics, such as nursing care hours, education level, certification, and turnover. NDNQI allows nursing units to compare their performance to similar units at other hospitals and use the data to set benchmarks for excellence.