Individual:
Organizational Culture and Climate on Group Process and Team Building. You are the unit director of the emergency department and part of an ad hoc interdisciplinary committee newly formed to address a 30% rise in arrival-to- provider time over the past six months. Six months ago, the ED consistently recorded an arrival-to-provider time less than the national benchmark of twenty minutes. The arrival-to-provider time is presently over one hour. A root cause analysis study finds that arrivals to the ER have increased by 50% and the lobby is usually filled to capacity. Often patients must stand due to lack of adequate seating. FTEs have not been added and staffing is consistently short due to call-offs. Patients are not being discharged from inpatient beds in a timely manner. The task for the committee is to propose a solution for the problem. Looking at this through the lens of an evidence-based quality improvement process, what would you propose as the PICOT for this initiative? Who are the stakeholders represented in your group? (Remember, this is an internal organizational issue, and while patients are impacted by the issue and are the beneficiaries of the work done, they would not be included in this type of task force)
(for your review, see the example for developing a PICOT below or refer to the Nurse Executive Track CGE Academy webinar located in resources and announcements)
Group:
Discuss how the perspectives for the PICOT differ depending on the discipline represented by each stakeholder? What impact will they have on the group process and in team building? How is the group process and team building effected by the organization’s culture and climate of transparency and safety? How will the outcomes of the committee be impacted? Link
Solution:Organizational Culture and Climate on Group Process and Team Building
Population (P): ED staff
Intervention (I): increasing the number of full-time equivalents (FTEs)
Comparison (C): current staffing level
Outcome (O): Reduction in arrival-to-provider time
Time (T): 6 months
In the emergency department staff (P) how does an increase of full-time equivalents (I) compared to the current level of staffing (C) reduce the arrival-to-provider time (O) within 6 months (T)?
There are a number of causes of ED crowding which may include increased demand from patients, epidemics, lack of trained staff, and lack of hospital beds (Chrusciel et al., 2019). Therefore, it is important to ensure the availability of adequate and well-trained staff. Also, prolonged wait time in the ED is linked o with increased morbidity and mortality and decreased patient satisfaction. Therefore an intervention to reduce wait time can help increase efficiency and improve health outcomes (Shen & Lee, 2018). In the above issue, it is important to implement one intervention at a time or adopt a …………click to purchase full solutio