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Implementing Projects Using the Rapid-Cycle Approach

Kendrick, Karen BSN, RN; Klossner, Jayne MSN, RN; Haubrick, Kevin MS, RD, LD

Journal of Nursing Administration: March 2010 - Volume 40 - Issue 3 - p 135-139
doi: 10.1097/NNA.0b013e3181d042d6

The Quality Work Out, a rapid-cycle improvement initiative, was put into place to prepare a complex 5-hospital system for The Joint Commission and the concept of the "next patient." The patient care team, a group of 11 change agents, was tasked with developing, leading, and implementing projects using the rapid-cycle approach. The authors outline key strategies that led to a successful The Joint Commission survey and measurable change at the bedside.

Authors' Affiliation: Patient Care Improvement Project Leader (Mrs Kendrick), Patient Care Improvement Director (Mrs Klossner), and Food and Nutrition Services & Program Director, Dietetic Internship (Mr Haubrick), Baptist Health System, San Antonio, Texas.

Corresponding author: Mrs Kendrick, Baptist Health System, 615 Soledad, San Antonio, TX 78205 (;

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