Fostering an Organizational Culture of Reliability by Nurse-Led Readiness Rounds

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One in every ten patients is harmed by various adverse events, of which nearly 50% are preventable (World Health Organization, 2019). Nurse-led readiness rounds support organizational change through communication and teamwork to improve patient safety and reduce harm (Hendricks et al., 2017). There was a significant need to change the culture around communication and quality of health care and establish a framework focused on a partnership that improves interprofessional collaborations through nurse-led weekly readiness rounds. This project aims to facilitate nurse-led readiness rounds to create a culture of reliability, change the culture around communication, improve cross-disciplinary collaborations through weekly readiness rounds, and continually build a high-reliability organization. Interdisciplinary collaboration in healthcare helps prevent medication errors, improve patient satisfaction, and improve patient outcomes. Two primary outcomes were assessed to determine the success of the project: adverse events reported through the Unusual Occurrence Report (UOR), and performance as measured by patient satisfaction as reported in the Hospital Consumer of Assessment of Healthcare Providers and Systems (HCAHPS) surveys. There was a significant decline in adverse events post implementation of this project. Using the most recent two quarters, adverse events declined from 14 in Quarter 1 2022 to only 10 in Quarter 2 2022 (post implementation). Successful implementation of a culture of reliability and nurse-led readiness rounds delivered high-quality care and improved neonatal and pediatric patient safety at the project site. Interdisciplinary collaboration enabled the team to communicate and work together to benefit patients and their families. As a service line, project participants committed to the five principles of collaboration: applying trust, respect, willingness, empowerment, and effective communication to human relationships (Agbanyim, 2015).
Submitted in partial fulfillment of the requirements for the degree Doctor of Nursing Practice
Nursing, Health Care Management