We wanted to make all hospitals aware that there will be a change in the enrollment of patients in the NCCC Exclusive Breast Milk Initiative. To allow smaller units to join the initiative the inclusion criteria of <1500 grams will no longer apply. For the larger units you may still only submit data for the <1500 gram pts. Please send me an email to let me know if you are interested in joining the Exclusive Human Milk NCCC initiative.

Effective change efforts are usually initiated by effective leaders. These individuals are often described as visionary, they are described as demonstrating a willingness to "step out in front", take risks or "take the bold step forward."  

Embarking on a journey into the unknown requires a deep level of personal commitment. When leadership moves beyond personal achievement or advancement and seeks to improve peoples' lives, it enters the realm of creating purpose and meaning. It means putting yourself and your ideas on the line. One of the leader's most significant roles is to create an environment in which others can take risks-to "hold the space," invite people in and make transformation possible. (Kimball, 2005).  

Are you as a leader willing to take a bold step forward and put yourself and your ideas on the line to make change happen?

What is meant by the term data? How can we use data to guide actions for improvement?

To make effective changes we have to be observant. Observation is an important source of learning while trying to improve, however, there are some weaknesses associated with relying on observation alone:    

• Our mind filters observations.
• Our present observations are affected by our past observations, .

It is useful, then, to turn observations into data. We define data as documented observations, including those that result from a measurement process.

Five types of data have been found to be useful in supporting improvement efforts:

• Continuous measurements,
• Counts of observations,
• Documentation of what people think and feel,
• Rating,
• Ranking.

No matter what type of data you are collecting, the collection of data should start with a plan. Include in the plan:

• What data will be collected
• How they will be collected
• Who will collect them
• When and where they will be collected .

Langley, Gerald J.; Moen, Ronald D.; Nolan, Kevin M.; Nolan, Thomas W.; Norman, Clifford L.; Provost, Lloyd P. (2009-06-03). The Improvement Guide: A Practical Approach to Enhancing Organizational Performance (JOSSEY-BASS BUSINESS & MANAGEMENT SERIES) (Kindle Locations 827-828). Wiley Publishing. Kindle Edition.

Title: Trends and outcomes of induction of labour among nullipara at term Jillian A. PATTERSON,1 Christine L. ROBERTS,1 Jane B. FORD1 and Jonathan M. MORRIS1,2

Aim: To determine induction trends and delivery, maternal and neonatal health outcomes by gestational age following induction at term for women having a first baby.

Conclusion: NSW has high rates of both induction and caesarean section following induction. This study highlights the changes to clinical practice that may help reduce the rate of caesarean births in nullipara

Contact

Tammy.Haithcox@pqcnc.org