Download Vol_2,_Issue_2_files/Ford IAB Slides

An Interactive Annotated Bibliography (IAB) to
Optimize Care and Safety of Respiratory Patients
•Bob Demers, BS RRT RCP FAARC FCCP
•Patrick Moore, BHA RRT RCP
•Richard Ford, BS RRT FAARC
Presented by Richard Ford
Administrative Specialist
UC San Diego Health
Poster/Handout
The Issue
The current medical care delivery landscape have
increase the pressures exerted upon healthcare
provider organizations to decrease costs. The avoidance
and reduction in costs often target the number of
Respiratory Care Practitioners made available to
provide care to patients with pulmonary impairments.
The CSRC Standards of Staffing (SOS) initiative was
created with the aim of developing a Position
Statement that is credible, convincing, and supported
by medical evidence to guide decision makers in when
RCPs should be employed and the number required to
insure safe and appropriate care.
CSRC Standards of Staffing Team
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Patrick Moore
Michael Madison
Robert Demers
Robert Bence
Jeffery Davis
Carol Mihailuk
Richard Ford
Opinion of the Team
• We contend that the delivery of care to certain
patients with pulmonary disease by care providers
other than RCPs is not only undesirable, but
downright dangerous.
• How do you educate others with compelling evidence
that RCPs are the most competent, efficient, effective,
and valued care givers.
• Must be supported by citations aimed at
demonstrating the value of staffing plans in which
competent caregivers make a difference, can reduce
expenses, can improve outcomes, and provide a safer
environment.
Where Did We Start ?
Examination of the Evidence
Documented Citations …
Ref # 32
Impact of Understaffing in Health Care
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Higher rates of infections
Increase medication and medical errors
Increase in LOS
Death
HCW fatique and burn out
Increase turnover
Decrease in patient satisfaction
Decrease employee satisfaction
Decrease in productivity
Decrease in employee engagement
However is only 312 Pages !
Will it Be Read, or Filed ?
Educating Decision Makers:
Most Value in Least Amount of Time
• Executive Leadership
• You have 5 minutes on the agenda
• You have 1 minutes to get them
interested
• Don’t create more work
• Least is better
• Data driven, evidence based
• Easy and meaningful
Lead to the design of an Interactive Annotated Bibliography (IAB)
Too Much to Do- There’s and App
for That
http://www.csrc.org/resources/Documents/Annotated%20Bib.pdf
A Bibliography
• The “signature trait” of a bibliography: enormous credibility
• The SOS bibliography is comprised of over 40 peer-reviewed
publications....resulting in a collection of monographs written
and endorsed by literally scores of experts
• The title of a paper might only hint at the results of a clinical
study
• Ideally, it would be optimal if inspectors of the bibliography
could read each reference in its’ entirety
Why Annotate?
• A readers often skim only the abstract of a published paper, in
order to ascertain its’ “take-home message”
• The Annotated Bibliography is used in order to provide a
“high-altitude” (moderately granular) view of a collection of
references
• The Interactive Bibliography allows the interested reader to
“drill down” on another piece, on the basis of that paper’s
annotated description
• Consequently, an Interactive Annotated Bibliography respects
the time constraints of the readers, while enhancing their
awareness of the bibloghraphys contents
The CSRC SOS Initiative
• If we wish to protect patients from the hazards of unsafe staffing, it
behooves us to create persuasive, comprehensive, and authoritative
tools targeted to administrators and managers of extended-care
facilities who might be oblivious to the adverse results of that practice
• Our IAB is designed to provide a potent disincentive for managers to
assign a non-RCP to a patient who may have been diagnosed with a
respiratory disorder that requires the unique skillset that credentialled
RCPs possess
• It is currently available to you now
www.csrc.org/resources/Documents/Annotated%20Bib.pdf
Acknowledgements:
The astute and insightful assistance Patrick Moore BHA, RRT,
RCP and to Robert Demers BS, RRT, RCP, FAARC, FCCP in the
creation of the AIB and contributions to this presentation is
gratefully acknowledged. The participation of the CSRC Ad
Hoc Committee to Promote Safe Staffing proved to be
indispensible in the formulation of the IAB concept.
www.csrc.org/resources/Documents/Annotated%20Bib.pdf
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