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Authors

  1. Salinas, Brianna MSN, RN, CNL
  2. Villamin, Colleen MSN, RN, OCN, CNL
  3. Gallardo, Luisa Dee MSN, RN, NE-BC

Abstract

Background: Lean management tools have proven effective in achieving high reliability in health care.

 

Local Problem: Unstructured leader rounds, decentralized prevention bundle repositories, and unfavorable patient experience outcomes prompted leaders on a thoracic and cardiovascular surgery unit to find other methods to address these issues and positively impact outcomes.

 

Methods: Nurse sensitive indicator prevention bundles, root cause analysis tools, and best practices were used to develop Kamishibai Cards (K-Cards) for each measure targeted.

 

Interventions: K-Cards were implemented to standardize processes, engage patients in their care, and promote staff identification of barriers and solutions.

 

Results: Nurse-sensitive indicators and patient experience metrics were positively impacted by Kamishibai Rounding. K-Cards promote a state of continuous improvement, which supports sustainability of evidence-based practice and best practices that were implemented.

 

Conclusions: K-Cards use high-reliability principles to standardize nursing practice to promote quality outcomes.