DataĪt the end of the pilot study, we reviewed patient assignments before and after implementing the acuity tool to assess their equality, and we surveyed RNs about the two goals we set for the project: improve nurse satisfaction and increase nurse perception of patient safety. At the end of the 28 days, we conducted another compliance audit, which revealed an average compliance among all four shifts of 77%, an increase of 220%. Progress e-mails were sent to staff, and individual follow-ups were held to promote compliance. We then collected data on the average distribution of total acuity among nurse assignments. After the first 14 days, we conducted an audit to assess compliance, which revealed that average compliance among all four shifts was 35%. We then taught the RNs how to use the tool and placed color-coded, laminated copies at every nursing computer. Before implementing the process improvement project, we used the newly created tool to assess the current average distribution of total acuity among nurse assignments, and we asked RNs to complete a 10-question survey to measure their satisfaction with patient assignments and perceptions of patient safety. We conducted a literature review and eventually combined two existing tools and restructured them to create our acuity tool.
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