Professional Documents
Culture Documents
Microsystem Model:
Leadership
Microsystem Mode
Organizational Culture and Support
Culture
productivity
Nelson, E. C., Batalden, P. B., Mohr, J. J., Godfrey, M. M., Headrick, L. A., & Wasson, J. H. (2002). Microsystems in
health care: Part 1. Learning from highperforming front-line clinical units. Joint Commission Journal on Quality and Patient
Safety, 28(9), 472-493.
Nelson, E. C., Batalden, P. B., Mohr, J. J., Godfrey, M. M., Headrick, L. A., & Wasson, J. H. (2002). Microsystems in
health care: Part 1. Learning from highperforming front-line clinical units. Joint Commission Journal on Quality and Patient
Safety, 28(9), 472-493.
Microsystem Model:
Patient Focus & Staff Focus
Microsystem Model:
Interdependence of Care Team
Patient-centered care
Staff Focus
oSelective Hiring
oValued members
oNot supportive enough with:
Education, training, and professional growth
Nelson, E. C., Batalden, P. B., Mohr, J. J., Godfrey, M. M., Headrick, L. A., & Wasson, J. H. (2002). Microsystems in
health care: Part 1. Learning from highperforming front-line clinical units. Joint Commission Journal on Quality and Patient
Safety, 28(9), 472-493.
Nelson, E. C., Batalden, P. B., Mohr, J. J., Godfrey, M. M., Headrick, L. A., & Wasson, J. H. (2002). Microsystems in
health care: Part 1. Learning from highperforming front-line clinical units. Joint Commission Journal on Quality and Patient
Safety, 28(9), 472-493.
12/6/15
Microsystem Model:
Use of Information and Healthcare Technology
Microsystem Model:
Process for Healthcare Delivery Improvement
Use of Information
Staff Nurses
oLess opportunities
HealthCare Technology
oMedication Scanning,
oAlaris Pumps
oAsCom Phones
oElectronic Pyxis
oElectronic Charting
7
Microsystem Model:
Staff Performance Patterns
CAUTI/CLABSI Board
oCurrent/Past Percentages
oUpdated Annually
10
Organizational Support
Observational study of 20 high performing microsystems,
using interviews and direct observation to gather information.
Larger organization provides recognition, information, and
resources to enhance the work of the microsystem.
oContinuing education designed into staff plans for
professional growth.
oThe larger organization should look for ways to connect
to and facilitate the work of the microsystem.
o...when we need something we get it. The larger
organization is very supportive in that we get what we
want, mostly in terms of resources.
(Nelsen,
Batalden,
Mohr,
Godfrey,
Headrick,
&
Wasson,
2002)
CCRN Exam Fee: $298 ($220 CCRN exam fee + $78 AACN annual
member fee) (AACN, 2015).
oAssessment Center located in Tucson
oAverage RN Salary in Tucson: $56,000 (Indeed, 2015).
About $29 an hour, $348 for a paid 12 hour shift
On average one day in an ICU is $3,200
o One study suggested an additional length of stay of 2.3 days for
every adverse event. 4.3 days if related to medication errors.
o Adverse events can cost between $6,000-$9,000 per event, and
over $200,000 per year.
o Can be prevented with further education and improved quality of
care.
(Kane, Jacobi, Rothschild, 2010)
11
12
12/6/15
References
References
American Association of Critical Care Nurses. (2015). Frequently Asked Questions about CCRN Certification. Retrieved
from http://www.aacn.org/wd/certifications/content/faqsccrn.pcms?menu=
Indeed. (2015). Registered Nurse Salary in Tucson, AZ | Indeed.com. Retrieved from
http://www.indeed.com/salary/q-Registered-Nurse-l-Tucson,-AZ.html
Kane-Gill, S. L., Jacobi, J., & Rothschild, J. M. (2010). Adverse drug events in intensive care units: risk factors, impact, and
the role of team care. Critical care medicine, 38, S83-S89.
Nelson, E. C., Batalden, P. B., Mohr, J. J., Godfrey, M. M., Headrick, L. A., & Wasson, J. H. (2002). Microsystems in health
care: Part 1. Learning from highperforming front-line clinical units. Joint Commission Journal on Quality and Patient Safety,
28(9), 472-493.
Nelson, E. C., Batalden, P. B., Homa, K., Godfrey, M. M., Campbell, C., Headrick, L. A., ... & Wasson, J. H. (2003).
Microsystems in health care: Part 2. Creating a rich information environment. Joint Commission Journal on Quality and
Patient Safety, 29(1), 5-15.
Godfrey, M. M., Nelson, E. C., Wasson, J. H., Mohr, J. J., & Batalden, P. B. (2003). Microsystems in health care: Part 3.
Planning patient-centered services. Joint Commission Journal on Quality and Patient Safety, 29(4), 159-170.
Wasson, J. H., Godfrey, M. M., Nelson, E., Mohr, J. J., & Batalden, P. B. (2003). Microsystems in health care: Part 4.
Planning patient-centered care. Joint Commission Journal on Quality and Patient Safety, 29(5), 227-237.
13
Text
Text
Text
Text
Text
Text
Text
Text
Text
14