Development of the IOWA exemplary
The IOWA exemplary was developed to guide nurses and other healthcare professionals (HCPs) in applying investigation to better care for their patients (Bahadar, Ali, Ikramullah, Khalid, and Ali 2016). The exemplary has been applied by HCPs around the globe, besides numerous influential researches. It was adjusted in 2001 and 2015 to include a response from end-users and to adapt to the dynamic realm of healthcare. The steps entailed in the IOWA exemplary are (1) identification of the opportunity or issue, (2) stating the question, (3) forming a team, (4) gathering, evaluation, and synthesizing of evidence, (5) designing and piloting the practice change, (6) integration and sustaining of the practice change, and (7) dissemination of results.
Improving lab competencies
Improving lab competencies could help the catheterization lab to attain working quality. The cardiac catheterization lab was recognized as having both exceptional strengths and considerable weaknesses as one of the departments in the hospital. The most considerable weakness of the lab was recognized as inefficiency. Data collected indicated inefficiencies and deferrals which impacted overtime and repudiated compensation days, besides patient fulfillment, and escalated the number of annulled procedures.
An intervention plan was developed by the chief director of cardiac services and a head doctor to particularly address the deferrals. This plan entailed a piloting board to perform as a target group. Data was recorded monthly to trail possible sources of inefficiencies, to be particularly addressed immediately. Plan particulars entailed support services where all outpatients are pre-tested by personnel from the ambulatory department, doctors are to guarantee all outpatients have complete lab procedure, the catheterization will endeavor to schedule inpatient as first cases, early colleagues would be available to catheterization lab by 7.00am to help with patient set up whereas late colleagues would be available latest 5 pm, and the heart failure clinic will close at 5 pm.
Turnover time is expected to decrease by 40%. Deferrals linked to hospital services should be reduced to the utmost minimal. Overtime expenditure should also go down and savings have to increase. Lastly, employee fulfillment in the catheterization lab should also improve.
Bahadar, S., Ali, U., Ikramullah, Khalid, M., & Ali, H. (2016). Cardiac Catheterization Lab Procedures: Safe Journey in Safe Hands. Pakistan Heart Journal, 49(2), 71–75.
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