Documente Academic
Documente Profesional
Documente Cultură
Jaclyn Spinelli, Monica Stewart, Brittany Huonker, Emily Heiland, Whitney Bouquet
Microsystem Mode
Organizational Culture and Support
Microsystem Model:
Patient Focus & Staff Focus
Microsystem Model:
Interdependence of Care Team
12/5/15
Microsystem Model:
Use of Information and Healthcare
Technology
Information is THE connector between staff and patients.
A study by Koch et al., found that integrated information
enhances nurses situational awareness and decreases
errors (2012).
Integration of information with:
o Patients: have access to customized information upon
discharge
o Providers and Staff: staff constantly had to track down
essential information
o Technology: no mode of hands free communication 7
Microsystem Model:
Process for Healthcare Delivery Improvement
Required resources on this unit are seldom available to
support improvement work. Improvement activities
performed were in addition to daily responsibilities.
Resources required for process improvement
o Training
o Time
o Financial support
(Institute for Healthcare Improvement, 2015)
Microsystem Model:
Staff Performance Patterns
Information Technology
Need for improvement based off of personal
observation and nurse interviews
Implement wireless technological communication
Nurses not able to contact charge/each other wirelessly
Charge communicates with step-down unit staff via
Vocera (hands-free communication badge)
Study: Vocera is flexible, mobile, easy, decreases
interruptions, saves time, preferred over phone and
pager
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References
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Institute for Healthcare Improvement. (2015). Clinical Microsystem Assessment Tool. Retrieved from http://www.ihi.org/
resources/pages/tools/clinicalmicrosystemassessmenttool.aspx
Koch, S. H., Weir, C., Haar, M., Staggers, N., Agutter, J., Grges, M., & Westenskow, D. (2012). Intensive care unit
nurses' information needs and recommendations for integrated displays to improve nurses' situation awareness.
Journal of the American Medical Informatics Association, 19(4), 583-590. Retrieved from
http://jamia.oxfordjournals.org/content/19/4/583.short (slide 7)
Richardson, J. E., & Ash, J. S. (2008). The Effects of Hands Free Communication Devices on Clinical Communication:
Balancing Communication Access Needs with User Control. AMIA Annual Symposium Proceedings, 2008, 621625.
Vocera. (2015). Secure, integrated healthcare communication system. Retrieved from http://www.vocera.com/
microsite/secure-integrated-healthcare-communication?utm_source=google&utm_medium=cpc&utm_content=vocera
%20communications&utm_campaign=Brand&utm_term=vocera
%20communications&gclid=CJf8rfbwvckCFQyFaQodBzgC1Q
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