Secondary Logo

Journal Logo

Institutional members access full text with Ovid®

Continuous Improvement and Employee Engagement, Part 2: Design, Implementation, and Outcomes of a Daily Management System

Maurer, Marsha, MS, RN; Browall, Pamela, MS, RN; Phelan, Cynthia, MS, RN; Sanchez, Sandra, MSN, RN; Sulmonte, Kimberlyann, MHA, RN, CPHQ; Wandel, Jane, MS, RN; Wang, Allison, BA

JONA: The Journal of Nursing Administration: April 2018 - Volume 48 - Issue 4 - p 209–215
doi: 10.1097/NNA.0000000000000601

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 work flow and to address them on a daily basis. Through a DMS, improvement becomes the work of everyone, every day. The authors of this 2-part series describe their work to develop a DMS. Part 2 describes the implementation and outcomes of the program.

Authors Affiliations: Senior Vice President for Patient Care Services and Chief Nursing Officer (Ms Maurer), Nursing Director (Ms Browall and Ms Sanchez), Associate Chief Nurse (Ms Phelan and Ms Sulmonte), and Program Director (Ms Wandel), Patient Care Services, and Management Engineer (Ms Wang), Office of Improvement and Innovation, Beth Israel Deaconess Medical Center, Boston, Massachusetts.

The authors declare no conflicts of interest.

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

Supplemental digital content is available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal’s web site (

Copyright © 2018 Wolters Kluwer Health, Inc. All rights reserved.