Exemplary Professional Practice: Culture of Safety

Magnet Recognition Program® Request for Additional Documentation
Homestead Hospital
Homestead, FL

MGN20140102

 

 

EP18EO Workplace safety for nurses is evaluated and improved.

 

EP18EOb: Provide two examples, with supporting evidence, of improved workplace safety for nurses resulting from the safety strategy of the organization. Supporting evidence must be submitted in the form of a graph with a data table that clearly displays the data.

 

Code Green data were reported to demonstrate the reduction in the use of this emergency announcement by the staff in the ED over time. Pre-initiative ED nursing staff perception of safety data were provided; however, post-initiative (trended) nursing staff perception of safety data were not provided to demonstrate that workplace safety for nurses improved as a result of a safety strategy of the organization.

 

  • Provide pre- and post-initiative (minimally, 3 data points) RN perception of safety data to demonstrate that the workplace safety for nurses improved as a result of the organization’s safety strategy to deal with disruptive patients, visitors, and/or families, as well as threats to staff, including assault and battery in the ED. If the data are not available, a new example may be provided. Provide data as requested in the 2014 Magnet Application Manual, pages 60-61.

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It was recognized that the data on RN perception of safety related to the care of suicide/Baker Act patients were presented in a table format with only 1 post-intervention data point in the original document. The exhibit below demonstrates the overall mean scores of the survey questions in a graphical format with 3 post-intervention data points.

 

Survey Questions

  1. I am comfortable in managing suicide/Baker Act patients.
  2. We do a good job of keeping suicide/Baker Act patients safe.
  3. We do a good job of keeping staff who work with suicide/Baker Act patients safe.
  4. I am able to safely manage suicide/Baker Act patient’s belongings.
  5. I know what is expected of me in caring for suicide/Baker Act patients.
  6. I have easy access to information about my role/responsibilities in caring for suicide/Baker Act patients.
  7. Families understand the process when we are caring for a suicide/Baker Act patient.

 

 

Exhibit EP18EOca: Overall Mean Scores of Self-Reported RN Perception of Safety Related to the Management of Suicide/Baker Act Patients in Homestead Hospital

 

Analysis: Above graphs shows a significant improvement in the RN’s perception of safety related to the management of suicide/Baker Act patients as evidenced by 3 post-intervention data points that are higher than the baseline.

 

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