2011 Improvement Science Summit: Advancing Healthcare Improvement Research

The Improvement Science Summit is the official conference of the Improvement Science Research Network (ISRN). Philosophically aligned with the NIH Clinical and Translational Science Award (CTSA) program, the goals of the ISRN are to accelerate improvement by conducting interprofessional landmark multisite studies and to enhance translation of research findings into health care.

Transforming health care through quality improvement and patient safety initiatives is a national priority. This innovative 1 1/2 day conference focused on advancing healthcare improvement research.

Tuesday, June 28 Agenda

2011 Summit Welcome and OverviewKathleen R. Stevens, RN, MS, EdD, FAAN
Professor and Director
Academic Center for Evidence-Based Nursing, the University of Texas Health Science Center at San Antonio
Principal Investigator, Improvement Science Research Network

Getting the Most from Research Collaboratives: Applying the Science of Team ScienceMichelle Bennett, PhD
Deputy Scientific Director for the National Heart Lung and
Blood Institute (NHLBI)
National Institutes of Health

Part 1:
Evaluating Quality Improvement InterventionsJohn Øvretveit, B.Sc. (Hons), MPhil., PhD, C.Psychol, C.Sci, M.I.H.M.
Director of Research,
Professor of Health Innovation Implementation and Evaluation
Medical Management Centre
The Karoliuska Institutet, Stockholm

Part 2
Evaluating Quality Improvement Interventions: Research Study ExamplesJohn Øvretveit, B.Sc. (Hons), MPhil., PhD, C.Psychol, C.Sci, M.I.H.M.
Director of Research,
Professor of Health Innovation Implementation and Evaluation
Medical Management Centre
The Karoliuska Institutet, Stockholm

Quality Improvement Meets Research: FMEA and RCA as Research MethodsVirginia Moyer, MD, MPH
Professor of Pediatrics and Head, Academic General Pediatrics
Baylor College of Medicine
Chief Quality Officer
Medicine Texas Children’s Hospital

Wednesday, June 29 Agenda

Building Research Collaboratives for Multi-Site Studies (Concurrent Sessions)

Frontline Staff Engagement in Quality Improvement
- Facilitator: Suzanne Beyea, PhD, RN, FAAN
  Associate Director, Dartmouth Centers for Health and Aging
  Director of Nursing Research for Health and Aging
  Dartmouth Hitchcock
- Network Investigator: Robert L. Ferrer, MD, MPH
  Associate Professor and Director of Research,
  Department of Family and Community Medicine
  University of Texas Health Science Center at San Antonio
- Network Investigator: Kathleen R. Stevens, RN, EdD, ANEF, FAAN
  Director, Academic Center for Evidence-Based Practice
  University of Texas Health Science Center San Antonio
Impact of Cognitive Load, Interruptions, and Distractions on Medication Administration Errors
- Facilitator: Myrta Rabinowitz, PhD, RN, BC
  Manager, Nursing Initiatives, Office of Chief Nursing Executive
  Institute for Nursing
  North Shore Long Island Jewish Health System
- Network Investigator: Lily Thomas, PhD, RN
  Vice President of System Nursing Research
  North Shore Long Island Jewish Health System
- Network Investigator: Patricia Donohue-Porter, PhD, MS
  Associate Professor and Director of the PhD Program, Nursing
  Adelphi University
Team Performance for Patient Safety
- Facilitator: Sarah Humme, RN, MSN, NE-BC
  Chief Nursing Officer
  Methodist Texsan Hospital
- Network Investigator: Heidi King, MS, FACHE
  Deputy Director, Department of Defense (DOD) Patient Safety Program
  Director, Patient Safety Solutions Center
  TRICARE Management Activity
- Network Investigator: Mary Salisbury, MSN, RN,
  President
  The Cedar Institute, Inc.
- Network Investigator: Katherine Jones, PT, PhD
  Assistant Professor, Division of Physical Therapy Education
  University of Nebraska Medical Center

Research Collaborative Reports

Frontline Staff Engagement in Quality Improvement
- Facilitator: Suzanne Beyea, PhD, RN, FAAN
  Associate Director, Dartmouth Centers for Health and Aging
  Director of Nursing Research for Health and Aging
  Dartmouth Hitchcock
Impact of Distractions during Medication Administration
- Facilitator: Coming Soon… Stay Tuned
Team Performance for Patient Safety
- Facilitator: Sarah Humme, RN, MSN, NE-BC
  Chief Nursing Officer
  Methodist Texsan Hospital

Using National Measures to Study Quality and Patient SafetyJames B. Battles, PhD
Social Science Analyst for Patient Safety
Center for Quality Improvement and Patient Safety (CQuIPS)
Agency for Healthcare Research & Quality (AHRQ)

Summary and ClosingKathleen R. Stevens, RN, MS, EdD, FAAN
Professor and Director
Academic Center for Evidence-Based Nursing, the University of Texas Health Science Center at San Antonio
Principal Investigator, Improvement Science Research Network

Summit Abstracts

Year	Title	Research Priority 1
2011	Improved Communication in Anesthesia Patient Transfers of Care	Coordination and Transitions of Care
2011	Innovation in Sepsis Care: The Role of the Registered Nurse Is Key	Coordination and Transitions of Care
2011	Using a Practice Improvement Model to Reduce Falls and Harm From Falls	Coordination and Transitions of Care
2011	Design and Validation of a Bedside CDSS for Nurses	Coordination and Transitions of Care
2011	Building Excellence From the Ground Up	Coordination and Transitions of Care
2011	Determining Intervention Fidelity From Chronological Field Notes	Evidence-based Quality Improvement and Best Practice
2011	Enabling Real-Time Data Driven Analysis in Quality Improvement Research	Evidence-based Quality Improvement and Best Practice
2011	Implementing an Evidence-Based Guideline for Fever and Neutropenia	Evidence-based Quality Improvement and Best Practice
2011	Kaiser Permanente Painscape: Taking Pain Management Beyond the 5th Vital Sign	Evidence-based Quality Improvement and Best Practice
2011	Revising the Office Visit Patient Flow Process Within an Outpatient Clinic	Evidence-based Quality Improvement and Best Practice
2011	Using Quality Transformation to Increase Outpatient Sedation Success	Evidence-based Quality Improvement and Best Practice
2011	Utilization of a System-Wide Toolkit to Prevent Pressure Ulcers and To Create an Expert Team	Evidence-based Quality Improvement and Best Practice
2011	A Feasibility Study of An Inpatient Rehabilitation Urinary Catheter Bundle	Evidence-based Quality Improvement and Best Practice
2011	A Fall Risk Assessment Scoring System for Hospitalized Pregnant Women	Evidence-based Quality Improvement and Best Practice
2011	Collaborative Care Practice Model Guides Improvement in Behavioral Health	Evidence-based Quality Improvement and Best Practice
2011	Best Practice Transformation to Improve Parental Newborn Care	Evidence-based Quality Improvement and Best Practice
2011	Systems Change to Improve Healthcare Approaches to Tobacco Cessation	High-Performing Clinical Systems and Microsystems Approaches to Improvement
2011	Comparative Analysis of Medication Administration Methods on Workflow	High-Performing Clinical Systems and Microsystems Approaches to Improvement
2011	Developing Conflict Engagement Competence at the Staff Nurse Level	Learning Organizations and Culture of Quality and Safety
2011	Establishing a Quality Transformation Core in a Children‚Äôs Cancer Center	Learning Organizations and Culture of Quality and Safety
2011	Generative Leadership Creates Ecologies of Collaboration in Healthcare	Learning Organizations and Culture of Quality and Safety
2011	Improving Shift Reports and Rounding With Paper and Electronic SBAR	Learning Organizations and Culture of Quality and Safety
2011	Improving Team Attributes: Supporting a Culture of Safety	Learning Organizations and Culture of Quality and Safety
2011	Joint Ventures for Patients and the Healthcare Team	Learning Organizations and Culture of Quality and Safety
2011	Preventing Hospital-Acquired Pressure Ulcers: Transformational Nursing Leadership in Action	Learning Organizations and Culture of Quality and Safety
2011	Standardizing the Handoff Communication Process Using EMR at the Bedside	Learning Organizations and Culture of Quality and Safety
2011	TCAB: Engaging Staff in Change	Learning Organizations and Culture of Quality and Safety
2011	Turning Quality Upside Down: Using a Perfect Storm to Change Quality Performance Culture	Learning Organizations and Culture of Quality and Safety
2011	Uniting Frontline Staff and Leaders in a Partnership Culture to Improve Patient Care	Learning Organizations and Culture of Quality and Safety
2011	Urgent Care Bay in an Outpatient Pediatric Cancer Center	Learning Organizations and Culture of Quality and Safety
2011	Combining TeamSTEPPS and Shared Governance in Behavioral Health to Improve Patient Safety	Learning Organizations and Culture of Quality and Safety
2011	An Evidence-Based Approach to Sedation in Children With Cancer	Learning Organizations and Culture of Quality and Safety