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IHI Expedition: Improving Patient Experience and Making It StickSession 4 Chat LogChris Partin: I'm curious as to what excuses they received as to why rounding wasn't being done...Carlos Salgado: connecting to the why.....Kristin Ramdeen: could we please clarify the 5 P's?Patrice Milton: We use 4 P's for us are: pain, possession, potty, positionSherrill Beaman: we use the five P's - pump, position, potty, pain, possession. Libby Skiles: Many facilities are adding additional P's, such as: Pumps (are they beeping or about to beep), Presence/Purpose, or Precautions (falls, skin, etc.)Patrice Milton: We had to reeducate to our staff that rounding has to be more purposeful in their rounding and the connecting the why Melanie Germano: can you send the manager observation tool that you used?Elaine Williams: Trust but verify!Carolyn Travis: have they seen a reduction in call light use as rounding improved?Rebecca Blair: Have you seen any improvements in clinical metrics- fall reduction, pressure ulcers etc.?Barbara Balik: Remember these steps Kelly is reviewing can be done quickly - days to weeks not month!Adrian Duarte: If we’re talking about implementing small bites what would be some small bites in regards to Hourly Rounding?Adrian Duarte: Perfect!!! Thank youAdrian Duarte: Do you get a nurse that is already challenged with task or that nurse that is already on top of her game?Barbara Balik: Go with a bright spot - one of the skilled staff members who others trust as a skilled, respected clinicianBarbara Balik: also go with someone who has energy, interest, & some enthusiasm for the idea - perhaps one who brought up the idea in the first place!Adrian Duarte: Completely agree. They will have freeness of speech. Thank youBarbara Balik: Pilot teams can be great teachers, coaches, role models - they can give concrete examples so the next sites don't start at zeroBarbara Balik: Pace of change - if you want results fast, keep the pace of tests and spread fast; think minutes, hours, days not weeks or months!Denise Schoen: How might we leverage social networks to improve pt. exp?Denise Schoen: Excellent, thank you!Barbara Balik: Social networks are peers who can influence others - peers who work together or know each other; skilled in relating to others; positive energy; who spreads the word well? Who do others go to for information within and across departments?Barbara Balik: using this curve - go initially for the early adopters & early majority; the late majority will observe, learn from, & follow the lead of early majority; the traditionalists may be last and may need more coaching (think if you're not great in technology, you need more support) - they can also help you about how to teach others wellElaine Williams: Does anyone have examples of a completed spread plan or a communication plan?Kelly McCutcheon Adams: I will ask our spread expert at IHI about sample communication plans/spread plans to see if she has any at hand. ................
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