Tuesday, June 30, 2009

Introducing Lori Melichar and her INQRI Panel...

At our upcoming meeting, Lori Melichar, senior program officer at the Robert Wood Johnson Foundation will lead a panel of three INQRI grantees: Linda Costa, Jill Marsteller and Linda Flynn.

Lori is a labor economist and senior program officer in the department of research and evaluation at the Robert Wood Johnson Foundation. During the past four years, she has coordinated the research, evaluation and performance measurement efforts of the Foundation portfolios working to improve the quality of care provided by physicians, nurses and and other health care professionals. Lori is leading the Foundation’s efforts to advance the science of Quality Improvement Research and Evaluation. In addition to serving on the leadership team of the INQRI program, she manages two other programs in the Human Capital Portfolio: Investigators in Health Policy and Health Policy Scholars. She is managing the evaluation of the New Jersey Nursing Initiative, the Foundation’s efforts to transform nursing education in New Jersey and a set of evaluations of quality improvement training programs across the country. Lori is currently serving as the director for research of the RWJF Initiative on the Future of Nursing, at the IOM.

The Panelists:

Linda Costa
Johns Hopkins Hospital
"Nursing-Pharmacy Collaboration on Medication Reconciliation: A Novel Approach to Information Management"

Deficits in communication across the continuum of care in regards to medication use can place patients at serious risk for harm. This interdisciplinary team is examining how to economically support direct care providers in medication reconciliation in order to facilitate safe transition to and from hospital and community. The team is evaluating the effectiveness of a nurse-pharmacist clinical information coordination team in improving drug information management on admission and discharge, quantify potential harm due to reconciliation failures, and determine cost-benefit related to averted harm.

Jill Marsteller
Johns Hopkins University
"Linking Blood Stream Infection Rates to Intensive Care"

The goal of this study was to implement a comprehensive safety program including an evidence based intervention to reduce central line-associated blood stream infections while examining the context of nursing care delivery on patient outcomes. This interdisciplinary research team used the expertise of nurses to develop and deliver a quality improvement initiative that reflects the positive clinical contributions of nurses in the critical care setting. This study should inform other nurse-led medical error reduction interventions, contribute to the quality improvement literature and to the science of rigorously evaluated evidence based interdisciplinary nursing practice.

Linda Flynn
University of Maryland
"Examining the Impact of Nursing Structures and Processes on Medication Errors"

The Institute of Medicine noted that a hospital patient on average is subject to at least one medication error per day, making medication errors the most common cause of preventable adverse events. This interdisciplinary study has been designed to disentangle the effects of nursing structures and care processes on non-intercepted medication errors in acute care hospitals. The economic impact of non-intercepted medication errors will be determined to explore the business case for evidence-based recommendations.

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