Drive Out Fear!

 W. Edwards Deming's eighth rule (of his 14 rules) is "Drive Out Fear." He also said "Where there is fear, you get false numbers."

There are clear and visible reasons for fear. Negative feedback has negative consequences on reputation, performance evaluation, patient and community engagement, career, and even bond ratings.

How to create an environment where people fearlessly acknowledge facts and act as team members, constructively?

That is framed by leadership. Leadership creates the environment for "safety". What a leader pays attention to, and their attitude and outlook towards what they are hearing and seeing, becomes the value of the organization, not simply what the leader says. They must walk the talk.

This includes responding to and valuing disclosure of important but sensitive information, while, at the same time, framing all feedback as system feedback, not personal feedback. It is the system, and we are all here to make that system better, together.

Eliminating fear starts with the leaders. They have the most visible jobs and understandably, the most potential anxiety about things going south on their watch. But it's about the organization, and if that is their focus, it will become everyone else's.

#HospitalLeader #Nursing #NursingLeader #EmergencyNurse #EmergencyPhysician

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Reduce Hospital-Wide Mortality Rate by One Third? Check!

Here is another Compirion case study from years past.

Several initiatives to move patients and assure proper care were wrapped up into a very robust rounding, supervision and collaborative intervention process. 

What started as a request to "fix the emergency department" very rapidly became a house-wide initiative with remarkable results. 

Learn more about how Bay Medical did it below.

Download the full Bay Medical Case Study here

https://img1.wsimg.com/blobby/go/cdfecf27-da58-4b0e-8db9-aac2b67e49bd/downloads/50c298a8-c4e9-412f-8870-ff1fc5f080ae/Bay%20Medical%20Mortality%20Rate%20decrease%20case%20study.pdf?ver=1748981826401

And download the detailed Bay Medical Handwashing Initiative article here..

https://img1.wsimg.com/blobby/go/cdfecf27-da58-4b0e-8db9-aac2b67e49bd/downloads/BayhandCsStdyview.pdf?ver=1748981826238

 #Nursing

#HospitalLeader

#HospitalOperations

#EmergencyPhysician

#HospitalExecutive

Shouldn't Every Emergency Department Have A Solid Predictive Model and an Engineered Response Procedure Behind It?

 Another great Emergency Service Line case study from Compirion's past. This one included what has become our tradition: Developing a solid predictive model and response process behind it. Predictive Modeling Magazine published an article about the work.

"That’s when predictive modeling entered the picture. The hospital was given formulas and predictive patient visit models for determining when the surge plan would be engaged. In the event of a surge, a group identified as the “Call-Back Six” were put on call to help until the volume became manageable again. The six were an ED tech, an RN, a discharge RN, a registrar, a radiology tech and a lab tech. The predictive model was developed by one of Compirion’s process analysts, Gould reports. The data used were historical in nature, he says, and were not drawn from H1N1-specific admits, but from normal sources of patient volume in the ED, such as EMS volume and walk-in patients. “From my clinical side, it gave us a fabulous tool, with acknowledged limitations, to predict volume, so that we could in turn predict staffing requirements and other needs,” he says.

Shouldn't every emergency department have a solid Predictive Model and an appropriate house-wide response procedure behind it?

See the full case study PDF for East Texas Medical Center here...

https://img1.wsimg.com/blobby/go/cdfecf27-da58-4b0e-8db9-aac2b67e49bd/downloads/ETMCCaseStudyview.pdf?ver=1748459802053

And read the full Predictive Modeling Magazine article PDF here...

https://img1.wsimg.com/blobby/go/cdfecf27-da58-4b0e-8db9-aac2b67e49bd/downloads/16d19988-0ab9-4ca7-ac8a-1e14b35475ac/Predictive%20Modeling%20H1N1.pdf?ver=1748459802053

#emergencymedicine #Hospitals #EmergencyNursing #Nursing #PatientSatisfaction #NursingExecutive #EmergencyPhysician

It Takes A Village!

 

ER Patient Satisfaction Skyrockets - Another Compirion Case Study from the past

There is no substitute for Teamwork, and that relies upon a solid team, well engineered roles and responsibilities, and most importantly, a growing record of sustained clinical successes. How to build that among your own crew? Charge RN and Provider Leadership Development, and new systems for the entire hospital to function like a true Squad.
Read the full case study here:

Grandview Emergency Services Patient Satisfaction Project

And here is the executive summary version:

Happy Nurses Week 2025!

 It's one thing to be aware of the disconnected parts of a patient's healthcare journey through the system. It's another to help connect the parts. And it's still another thing to master them. Nurses Hang Ten! See Graphic at the bottom!

#Nursesweek #Nursing #Nursingleadership #NurseExecutive #Hospitals #healthcare #AONE