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Good Sam Earning Good Marks for Quality Improvement Efforts

August 2nd, 2016

Two departments within Good Samaritan Hospital received the Zero Harm award from Catholic Health Services for their efforts to have no incidents in specific areas within their departments for at least a year.

The physicians and staff of Labor and Delivery, where Susan Correll, MS, RN, NE-BC serves as Nurse Manager, were recognized for their efforts in reducing elective deliveries before 39 weeks.

Using evidence-based best practices for the safety of patients, Labor & Delivery significantly reduced the number of elective deliveries. According to Correll, the entire staff, including physicians and nurses received instruction on how to decrease the number of deliveries – with and without induction or c-sections.

“We did a lot of education. It’s been a big effort  which we spent a year instituting to get to zero,” says Correll, “but we’ve been there for the past few years so it was nice to be recognized.”

In addition, the department received the New York State Perinatal Quality Collaborative (NYSPQC) Obstetrical Improvement Project’s 2015 Quality Improvement Award. The award supports the NYSPQC Maternal Hemorrhage and Hypertension Initiative’s mission of advancing improvements in identifying maternal hemorrhage and hypertensive disorders.

The award was presented to Good Samaritan Hospital based on the team’s reaching one of the project’s goals; reporting that greater than 80% of women received education on the signs and symptoms of postpartum pre-eclampsia prior to discharge from the birth hospitalization.

The team approach which incorporates daily ICC rounds in Pediatrics and Pediatric ICU was effective in earning the staff, headed by Nurse Manager Nancy McNeill, EdD, MA, RN-BC, CCRN, AE-C, the second Zero Harm award from CHS.

According to McNeill, the team was recognized for reducing Central Line Associated Blood Stream Infections (CLABSI). Nurses who conduct daily rounds then provide a report to discuss during a meeting with physicians as to what lines a patient currently has to deliver medications, when the line was last changed, and how long the patient requires the line.

It is elective collaboration and teamwork that is vital to reducing the risk of infection. “It’s definitely a team approach,” says McNeill. “The nurses prepare reports based on their rounds to indicate what the patient is getting through the (intravenous) line and how long it should be required. The idea is to not keep it in any longer than it needs to be. One of the best things we do is to remove the line out as quickly as possible thereby preventing infection.”