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Paving the way to excellence with best practice guidelines

January 14, 2014

As one of the 15 organizations chosen for the Best Practice Spotlight Organization initiative by the Registered Nurses Association of Ontario (RNAO), Women’s College Hospital (WCH) is in the second year of a three-year plan to implement five of RNAO’s best practice guidelines (BPGs). The best practice guidelines program supports practice by providing recommendations based on the best evidence available.

WCH selected five BPGs that align with organizational goals and reflect the work that the hospital is already doing, allowing for ongoing re-evaluation and improvements.   

“This initiative was chosen to support continuous quality improvement at WCH as well as acknowledge the great work clinicians are already doing to improve practices through their program and throughout the organization,” said Jane Mosley, chief nursing executive and health disciplines, professional affairs, WCH.

During the first year, the following BPGs were rolled out at WCH:

  1. Preventing Falls and Fall Injuries in the Older Adult
    This BPG was used as a lever to update the existing falls strategy in preparation for 2013 Accreditation. The strategy was modified to reflect the academic ambulatory care environment at WCH by focusing on patient, visitor and staff falls, making falls prevention everyone’s responsibility.
  2. Establishing Therapeutic Relationships
    Developing a therapeutic relationship between patients and health professionals is challenging in an ambulatory care setting. The BPG recommendations are being integrated across interprofessional teams, in broad organizational activities such as new clinic service standards, educational rounds and patient satisfaction surveys.

    Now in the second year, the three additional BPGs are being rolled out within specific programs:

  3. Subcutaneous Administration of Insulin in Adults with Type 2 Diabetes in the Endocrine Program
    Using this guideline the program is actively engaging patients in the review and update of education materials to standardize clinic team practices and improve patient safety and team effectiveness.

  4. Strategies to Support Self-Management in Chronic Conditions: Collaboration with Clients in the Osteoporosis Program
    Under this guideline, WCH is actively engaging patients in setting health goals and in the review and improvement of education materials to help them manage their chronic health conditions.

  5. Assessment and Management of Pain in the AACU
    The implementation of this guideline will result in a pain assessment with every patient assessment. This standardized inclusion of a pain assessment will improve pain assessment and management in our ambulatory care setting.

“At WCH we are working to continually improve the quality of care we provide to our patients and their families,” said Mosley. “The BPSO is an important quality of patient care initiative. The provision of high quality care depends on translating research-based knowledge into real-life practice.”


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