Loftin says PMC has not had a case of ventilator-acquired pneumonia in more than four years, the fall rate is well below the national best percentile ranking, and the hospital has decreased the catheter-associated urinary tract infection rate to all but nothing, with just one in the last six months.
"All those are [National Database of Nursing Quality Indicators] NDNQI nursing indicators," says Loftin. "It's not just science we're using, it's making sure we have the right staffing and support of the workload of staff so they can pay attention to the important things."
The acuity system has also contributed to increased nurse morale. Loftin says nurses feel the units are staffed appropriately when following the guidelines. In the real world no system works perfectly. Sick days and vacations mean not every shift is always staffed at the correct level. But PMC is flexible and works around problems.