Translating Data from the National Database for Nursing Quality Indicators for Bedside Clinicians and Administrators Michele M. Pelter, RN, PhD & Kimberly E. Stephens, RN, BSN, MPH Renown Regional Medical Center Reno, NV Background & Significance Quarterly data provided by the National Database for Nursing Quality Indicators (NDNQI) provide invaluable information Facility statistics Benchmark data Reports are detailed and lengthy Our facility report is 148 pages Presented in unfamiliar format (i.e., frequencies, percentiles, ranges, and quartiles) P-values 1
Purpose To illustrate how our NDNQI team developed data reporting forms that display and interpret data for better understanding for: Bedside clinicians Administrators Setting/NDNQI Team Setting 525 bed acute care hospital, Reno, NV Soon to be over 725 beds NDNQI Team - Nurse Researcher - Nursing Research Project Specialist 2
NDNQI Profile Joined April 2004 Average daily census = 400 to 499 Participating Units Adult: critical care step down Medical/Surgical Peds, & Neonatal Peds, & PICU n = 2 NICU n = 1 n = 2 (ICU, CCU) n = 2 (Special Care, Telemetry) n = 5 (Surgical, Neuro, Medical, Ortho, Oncology) Who do We Distribute Report to? 1. Administrators 2. Bedside Clinicians 3
Data Reports for Administrators 1. Key for leaders was to provide summary data HPPD Rate of hospital acquired pressure ulcers Rate of patient falls 2. Translation of numeric data into graphs/figures 3. Distribution Summary &Translation of Numeric Data Numeric Reports 148 pages User friendly report 4
Distribution for Leadership Reports sent to: Hospital Administrator, & COO/CNO DON Nurse Managers Clinical Nurse Specialists Nurse Educators Distribution for Leadership Provide verbal presentations Learn how to interpret & understand results Electronic Although NDNQI reports are only sent quarterly provide facility data at least monthly limitation = no current benchmark data Positive = quality data at forefront of patient care 5
Data Reports for Bedside Clinicians Distribution Translation of numeric data into graphs/figures Provide summary data Distribution to Bedside Clinicians NDNQI team presents to staff nurses Shared governance Unit/Module meetings Place where (all/most) the nursing staff are likely to see results 6
Apr il - June 2004 July - Sept 2004 Oct - Dec 2004 Jan - Mar 2005 Apr il - June 2005 July - Sept 2005 Oct-Dec 2005 Jan-Mar 2006 Distribution to Bedside Clinicians Bus Board Translation for Bedside Clinicians Translation of numeric data into graphs/figures Summary data important for their practice 3.5 2.5 1.5 Quality Indicator: Prevention of Falls 4 3 2 1 Quality Indicator: Prevention of Falls Unit: SCU Unit: ICU Falls per 1000 Patient Days 25 20 15 10 Falls per 1000 Patient Days ICU SCU National National Critical Step Down Average Care Average Add interpretation 0.5 0 5 Reporting Quarter 0 A pril - June July - Sept Oct - Dec Jan - M ar A pril - June July - Sept Oct-Dec Jan-M ar 2004 2004 2004 2005 2005 2005 2005 2006 Reporting Quarter 7
Translation of Patient Falls Difficulty interpreting unit used for patient falls (i.e., number of falls/1,000 patient days) Example = 2.1 (this is NOT 2.1 falls) Translated falls/1,000 patient days into the actual number of falls Conclusion/Implications Quarterly data provided by NDNQI provides invaluable information Reports are detailed and lengthy Keys for reporting data vary for Nursing Leadership & Bedside Clinicians 8
Conclusion/Implications 1. Key for nurse leaders provide summary data HPPD Rate of hospital acquired pressure ulcers Rate of patient falls 2. Translation of numeric data into graphs/figures 3. Distribution: Administrator, COO/CNO, DONs, Nurse Mangers, CNSs, & Nurse Educators Conclusion/Implications Distribution for Staff Nurses NDNQI team presents data Viewing where the nursing staff are likely to see results Translation of numeric data into graphs/figures Summarize Add interpretation 9
Translating Data from the National Database for Nursing Quality Indicators for Bedside Clinicians and Administrators Michele M. Pelter, RN, PhD & Kimberly E. Stephens, RN, BSN, MPH Renown Regional Medical Center Reno, NV 10