CLINICAL MICROSYSTEM GREENBOOKS HOW TO

16 As more research is done in a specific area, the research evidence must be incorporated into the EBP. In some cases, however, a sufficient research base may not be available, and health care decision making is derived principally from nonresearch evidence sources such as expert opinion and scientific principles. When enough research evidence is available, the practice should be guided by research evidence in conjunction with clinical expertise and patient values. 12–15 Best evidence includes empirical evidence from randomized controlled trials evidence from other scientific methods such as descriptive and qualitative research as well as use of information from case reports, scientific principles, and expert opinion. 11Įvidence-based practice (EBP) is the conscientious and judicious use of current best evidence in conjunction with clinical expertise and patient values to guide health care decisions. 6–9 Although during the early and mid-1900s, few nurses contributed to this foundation initiated by Nightingale, 10 the nursing profession has more recently provided major leadership for improving care through application of research findings in practice.

Nursing has a rich history of using research in practice, pioneered by Florence Nightingale. 5 Implementing evidence-based safety practices are difficult and need strategies that address the complexity of systems of care, individual practitioners, senior leadership, and-ultimately-changing health care cultures to be evidence-based safety practice environments. Yet, only by putting into practice what is learned from research will care be made safer.

CLINICAL MICROSYSTEM GREENBOOKS HOW TO

5 Much less research attention has been paid to how to implement practices. 1–4 Traditionally, patient safety research has focused on data analyses to identify patient safety issues and to demonstrate that a new practice will lead to improved quality and patient safety. However, these practices are not always implemented in care delivery, and variation in practices abound. IMPROVEMENT RAMP: ASSESSMENT.Evidence-based health care practices are available for a number of conditions such as asthma, heart failure, and diabetes. Through the assessment described in this chapter, the interdisciplinary lead improvement team will learn new information and data about the microsystem and use that material to inform their selection of improvement themes and aims. The assessment of your clinical microsystem is the beginning of that system's improvement journey. Identify strengths and opportunities for improvement based on the 5 P's assessment. Review, analyze, and draw conclusions about the relationships among the 5 P's.

Engage all members of your clinical microsystem in the process of assessment and awareness building.

Identify key tools and methods for gaining deeper knowledge. Describe your deeper knowledge of your microsystem's purpose, patients, professionals, processes, and patterns.Organize your microsystem assessment so it is systematic.At the completion of this unit, you will be able to To do an assessment of your clinical microsystem using the 5 P's framework, a tested analytical method that focuses on purpose, patients, professionals, processes, and patterns.

Clinical microsystem greenbooks