In a step toward achieving Magnet designation, BWH submitted a body of evidence in April that demonstrates how the hospital meets 49 standards within the components of the Magnet model: Transformational Leadership, Structural Empowerment, Exemplary Professional Practice, and New Knowledge, Innovations and Improvements. Empirical Outcomes are required throughout the components. The 75 initiatives selected for submission are examples of our deep commitment to quality, nursing excellence, interprofessional collaboration and innovation. We are using “Magnet Matters” to share some of these examples with you. We hope you will be inspired by the broad range of examples and the work being done across BWH.

Exemplary Professional Practice

Clinical nurses are involved in the development, implementation and evaluation of the professional practice model. (EP 2EO)

Example: Improving A Key Quality Outcome in the NICU

Central line-associated bloodstream infections (CLABSI) can occur when a central line is inserted or when daily maintenance of the central line is performed. After seeing a high rate of CLABSI in the NICU during a four-month period in spring of 2016, a CLABSI taskforce was created to identify the cause and develop a plan to improve care.

The taskforce learned that the CLABSI cases at that time were associated with line maintenance, so they conducted a literature review and held meetings to gather feedback from staff. The team then created a central line checklist and a video to educate staff on best practices for central line maintenance. Following a series of interprofessional workshops where these standards of care were presented and then implemented, the CLABSI rate in the NICU decreased. In fact, the NICU has been CLABSI-free since Dec. 1, 2016.

Exemplary Professional Practice

Resources, such as professional literature, are readily available to support decision-making in autonomous nursing practice. (EP 14)

Example: Utilizing Smart Pump Technology to Improve Patient Safety

Lack of knowledge about medications, specifically around preparation and administration techniques, is a leading cause of preventable adverse drug events.

To help reduce medication errors, improve patient safety and support autonomous nursing practice, BWH adheres to multiple medication safety practices, including automated medication administration through smart pump technology. The BWH Smart Pump Committee uses continuous quality improvement data from the smart infusion pumps to perfect our drug library entries.

The Institute of Safe Medication Practices honored the BWH Smart Pump Committee with the prestigious Cheers Award for setting a standard of excellence for others to follow in the prevention of medication errors and other adverse events.

Visit www.BWHPikenotes.org/Magnet to access BWH’s Magnet submission website where you can read more about these examples, listed under Exemplary Professional Practice, EP 2EO and EP 14.