Reducing Proportion of Patients on I/O Chart Monitoring in an Intermediate Rehabilitation and Subacute Setting
Care Process & Redesign
Workforce Transformation
National Healthcare Innovation and Productivity Medals
National Healthcare Group
31 December 2022
Reduce the proportion of patients on I/O Chart Monitoring in an Intermediate Rehabilitation and Subacute Setting. The new process improved efficiency, reduced unnecessary charting, and allowed nurses to focus on more critical care tasks, benefiting.
Year Submitted: 2022
Published Date: 31 December 2022
Tags: Care Process ＆ Redesign, Workforce Transformation, Quality Improvement, Workflow Redesign, Job Effectiveness, Job Redesign, Upskilling, Workforce Performance, Workforce Productivity
About this Content
Aims
Reduce the proportion of patients on I/O Chart Monitoring in an Intermediate Rehabilitation and Subacute Setting.
Background
Inpatient charting for intake and output (I/O) takes considerable nursing hours and resources, particularly for medically stable patients.
Methods
Modified the Nurse-led I/O Chart Review Process, empowering junior nurses and healthcare assistants to review and discontinue unnecessary I/O monitoring.
Results
Reduced the proportion of patients on I/O chart monitoring from 73% to 43.6%, saving an average of 48 minutes of nursing time per day.
Conclusion
The new process improved efficiency, reduced unnecessary charting, and allowed nurses to focus on more critical care tasks, benefiting patient rehabilitation.
Lessons Learnt
Empowering junior staff to lead the process helped to integrate the change into daily practice. Providing feedback and continual support ensured sustainability.
Keywords
Nursing Input and Output, Workflow Improvement, Rehabilitation Medicine, Patient Care, Nurse Empowerment
Innovators' Details
Innovators' Details
Healthcare Cluster(s) | National Healthcare Group |
Organization(s) Involved | Tan Tock Seng Hospital |
Platform(s) | National Healthcare Innovation and Productivity Medals |
Healthcare Professional Group(s) | Healthcare Administration, Nursing, Medical |
Applicable Specialty or Discipline | Rehabilitation Therapy |
Project Lead(s) | Wang Qian |
Project Member(s) | Wee Fong Chi |
Connect with this contributor!
Wang Qian - wang_qian@ttsh.com.sg
Project Attachment
C_431_TTSH_NHIP_2022_Reducing_Proportion_of_Patients_on_IO_Chart_Monitoring.pdf