Rasmussen’s Modified Safety Dynamic Model
how healthcare systems drift towards the edge of patient safety
push from efficiency, workload, limited resources
High reliability organization main characteristics
exceptionally safe
consistently high-quality care
What does the Supply-Input-Process-Output-Customer model examine?
supply and demand for nurses
Suppliers of nurses
nursing school
external new hires (applicants)
float pool
agency
Inputs of nurses
students
unit staff
float staff
agency nurse
What needs to be maximized between supply and input?
students that turn into external new hires (applicants)
Processes
student placement
external recruitment
request vacancy through float pool
request to agency
Outputs
unit staff support
staff satisfaction
float pool request fulfilled
agency nurse deployed
Customers
unit staff and floors
What tool did the Humber River speaker use to help assess stability and risk of patient to help staff?
Patient Care Needs Assessment Tool
Result of the Care Needs Analysis
distributed RNs and RPNs based on stability of patients
to help determine staffing
Average ratio for adult medsurg
4 to 5
Average ratio for ICU
1 to 2
Main priority for the ICU
protect 1:1 ratio
What is being proposed to help with ICU staffing?
expedited pathway to ICU certification
more ICU hours as a student
What % of inpatients are typical patients where care goes as planned?
80%
Budget planning main assumptions (4)
1) patient volumes
2) revenue
3) supplies/drugs/equipment
4) staffing expenses
Out of these 4 values, what is the number one cost?
staffing expenses
Speaker’s “magic” formula
4.2 FTE x each nurse required 24/7
What percentage of revenue comes from the Minister of Health?
83%
What percentage of revenue comes from patients?
7%
out of country
parking*
What percentage of revenue comes from “recoveries”?
10%
grant/research funding, foundation*
Budgeting replacement definition
hours requirement to replace full-time staff when they are not available to work
e.g. sick days, education days, vacation time, stat holidays
What is the percentage of required replacement days?
18%
-
Week 2 - Intro and Becoming a Leader38
-
Week 3 - Leadership and Management17
-
Week 4 - Canadian Health System36
-
Week 4 - RNAO Presentation23
-
Week 5 - AI Literacy37
-
Week 6 - Power, Politics, Influence33
-
Week 8 - Healthcare Teams52
-
Week 8 - Unions22
-
Week 9 - Workforce Planning25
-
Week 9 - Leading and Managing Change39
-
Week 10 - Leadership & Charge Nurse Role50
-
Week 10 - IPC and IPE38
-
Week 11 - Understanding Organizational Structures34
-
Week 11 - Role Transition and Career Development21
-
Week 12 - Indigenous Leadership18
