The ICU team introduced a new approach called Measure-vention in Kaiser Permanente Vacaville’s Intensive Care Unit (ICU). This method involves measuring care quality and providing real-time feedback between staff members to ensure high standards are maintained using evidence-based practice guidelines.
Measurement at the point of care, combined with real-time intervention (Measure-vention [MV]) can promote reliability and adherence to quality bundles. Implementation of peer-to-peer feedback using Measure-vention will improve staff engagement, increase receptiveness to feedback, and decrease HAP, HAPI, CAUTI, CLABSI, and falls in 2024.
The ICU conducted a pilot program from April to June 2024 in our 20-bed ICU Trauma unit in the hospital. During this time, 15 nurses used QR codes to answer questions about patient care practices. If any part of the care process was found to need intervention, immediate peer feedback helped address the issues.
The team saw great improvements during the pilot. Nurses became more engaged and open to feedback, and we noticed a significant drop in hospital-associated infections like pneumonia and urinary tract infections. The need for feedback interventions decreased from 60 to 39 per week, and the number of adverse events was cut in half from our target.
We learned the importance of team alignment and staff accountability. We recommend integrating Measure-vention into regular performance improvement efforts to enhance patient care quality.
