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Rapid Cycle Change Projects Improve Quality of Care

Valente, Sharon PhD, RN, APRN, FAAN

Section Editor(s): OERMANN, H. MARILYN PhD, RN, FAAN

Journal of Nursing Care Quality:
doi: 10.1097/NCQ.0b013e3181e26a3e

Transforming Care at the Bedside program was developed as a way to improve care on medical-surgical units, patients' and family members' experience of care, and teamwork among care team members and to increase satisfaction and retention of nurses. Average turnover rates for this program's RNs decreased to about 3%, a 58% reduction in rate. The time RNs spent in direct patient care increased 10% compared to the control unit, and value-added care also increased from 10% to 15% over baseline. Patient and staff satisfaction improved.

Author Information

Department of Veterans Affairs, Los Angeles, California.

Correspondence: Sharon Valente, PhD, RN, APRN, FAAN, Department of Veterans Affairs, 11301 Wilshire Blvd, Room 6235, Los Angeles, CA 90073 (

Accepted for publication: April 11, 2010

© 2011 Lippincott Williams & Wilkins, Inc.