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Sustaining disease-specific performance improvement measures for joint replacement.

Authors
  • Cress, Deborah1
  • Hansen, Linda
  • Pelton, JoAnne
  • 1 Spectrum Health, Grand Rapids, MI, USA.
Type
Published Article
Journal
Orthopedic nursing
Publication Date
Jan 01, 2012
Volume
31
Issue
3
Pages
139–150
Identifiers
DOI: 10.1097/NOR.0b013e3182558c23
PMID: 22622605
Source
Medline
License
Unknown

Abstract

To maintain standards of excellence and continuously improve their outcomes, specialized joint replacement centers must develop, implement, and sustain specific performance improvement activities. This article describes the activities at one. Midwestern healthcare system's joint replacement center related to three disease-specific performance improvement measures: fall prevention, preoperative education, and pain management. Specific steps in the process for each measure are described. These include current-state analyses, goals established, the use of Plan-Do-Study-Act (PDSA) methodology to identify and implement appropriate interventions, and the use of the Six Sources of Influence model to promote successful change. Outcomes, lessons learned, and suggestions for replication by other institutions are discussed.

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