Central Line Blood Stream Infection (CLABSI

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The purpose of this assignment is to provide students with an opportunity to develop their assessment of a clinical microsystem and associated work environment to improve outcomes based on evidence and best practices. In a future practicum/internship you will be leading a unit-based team to improve outcomes. These outcomes might be clinical, operational, educational, interpersonal, technological or financial and they will align with the organizational goals and mission. The microsystem assessment is foundational as a starting point for clinical nurse leaders to understand the complexity, culture, team work and data driven outcomes of a given unit and to determine what problem needs to be prioritized for improvement. The outcome chosen to focus on in the Intensive Care Unit (ICU) Microsystem is Central Line Blood Stream Infection (CLABSI). This is the focus of improvement for the ICU.

PART 1
To start the assignment, use the microsystem workbook as your guide and reference. Complete a Microsystem Unit Profile (see page 6 in the inpatient workbook as an example of a SUMMARY UNIT PROFILE). If you do not have a specific microsystem work setting and corresponding workbook, then use the Supporting Microsystem Workbook below and adapt it to the components of your team, setting, or select a microsystem within a regional hospital or other organizational entity that is conducive to a system level improvement project. Ask your instructor for guidance if needed to help focus the potential improvement / practice change project. THE UNIT IS ICU AND THE HOSPITAL IS KAISER PERMANENTE SAN LEANDRO CALIFORNIA

Clinical Microsystem – Assessing, Diagnosing and Treating Your Inpatient Unit (DOC)

Supporting-Microsystem-workbook-1.doc
THE DARTMOUTH INPATIENT WORKBOOK WILL BE UPLOADED AS AN ATTACHMENT.

Go to the website below and select the Greenbook/workbook that is most appropriate for your clinical microsystem/unit based team. The Greenbooks are in MS Word so you can download, edit and use them to complete the assignment. This can be a time-consuming assignment, so plan ahead and schedule informational interviews to obtain information and data that might not be readily available. Read the workbook and sample worksheets and interview staff members, unit leaders, managers or other interdisciplinary team members to obtain an accurate assessment and analysis of your microsystem.

Dartmouth Microsystem Academy: Dartmouth – Generic Microsystem Workbooks (Links to an external site.)
THE DARTMOUTH INPATIENT WORKBOOK WILL BE UPLOADED AS AN ATTACHMENT.

PART 2
Write a scholarly paper that briefly describes your unit characteristics, such as the organizational setting, Purpose, Patient population characteristics and Professional/staff skill mix, Processes and Patterns that showcase excellent care and/or opportunities for improvement. Focus your paper to succinctly capture information about the 5 Ps framework for your assessment and include “metrics that matter” (data) which you discover by analyzing processes and patterns that represent a gap analysis and impact your unit effectiveness, efficiency, quality, safety.

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