NCIS Nurse-Led Vital Signs Monitoring
Care Process & Redesign
National University Health System Quality Improvement
National University Health System
31 December 2018
Reduce frequent vital signs monitoring (VSM) safely for low-risk haematology-oncology patients by 50%. Nurse-led VSM de-escalation is safe, sustainable, and enables resource reallocation to enhance patient care.
Year Submitted: 2018
Published Date: 31 December 2018
Tags: Care Process ＆ Redesign, Quality Improvement, Productivity, Time Saving, Clinical Practice Improvement, Manhour Saving
About this Content
Aims
Reduce frequent vital signs monitoring (VSM) safely for low-risk haematology-oncology patients by 50%.
Background
Routine frequent VSM burdens nurses, resources, and patients; literature shows safe de-escalation for low-risk patients.
Methods
Developed de-escalation protocol for VSM
Results
VSM reduced by 50%; saved 948 nursing encounters monthly, with no adverse events.
Conclusion
Nurse-led VSM de-escalation is safe, sustainable, and enables resource reallocation to enhance patient care.
Lessons Learnt
Stakeholder engagement, clear communication, and empowering nurses were key to successful implementation.
Keywords
Clinical Improvement, Nursing, Vital Signs Monitoring, Haematology-Oncology, Resource Optimisation, Safety
Innovators' Details
Innovators' Details
Healthcare Cluster(s) | National University Health System |
Organization(s) Involved | National University Hospital |
Platform(s) | National University Health System Quality Improvement |
Healthcare Professional Group(s) | Nursing, Medical |
Applicable Specialty or Discipline | Haematology, Oncology |
Project Lead(s) | Samuel Ow |
Project Member(s) | Sharmila Kasinathan |
Connect with this contributor!
Dr Samuel Ow - samuel_ow@nuhs.edu.sg