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Building a Culture of Continuous Improvement and Employee Engagement Using a Daily Management System Part 1: Overview

Maurer, Marsha, MS, RN; Canacari, Elena, BSN, RN, CNOR; Eng, Kimberly, BSE; Foley, Jane, MHA, RN; Phelan, Cynthia, MS, RN; Sulmonte, Kimberlyann, MHA, RN, CPHQ; Wandel, Jane, MS, RN

JONA: The Journal of Nursing Administration: March 2018 - Volume 48 - Issue 3 - p 127–131
doi: 10.1097/NNA.0000000000000593

A daily management system (DMS) can be used to implement continuous quality improvement and advance employee engagement. It can empower staff to identify problems in the care environment that impact quality or workflow and to address them on a daily basis. Through DMS, improvement becomes the work of everyone, every day. The authors of this 2-part series describe their work to develop a DMS. Part 1 describes the background and organizing framework of the program.

Author Affiliations: Senior Vice President for Patient Care Services and Chief Nursing Officer (Ms Maurer), Associate Chief Nurses (Mss Canacari, Foley, Phelan, and Sulmonte), and Program Director (Ms Wandel), Beth Israel Deaconess Medical Center, Boston; and Business Transformation Advisor (Ms Eng), Lynn Community Health Center, Lynn, Massachusetts.

The authors declare no conflicts of interest.

Correspondence: Ms Wandel, Beth Israel Deaconess Medical Center, Rabb 251, 330 Brookline Ave, Boston, MA 02215 (

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