Massachusetts General Hospital Patient Care Services
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Patient Care Services


"promoting excellence every day
through knowledge and compassion"
Collaborative Governance Magnet Recognition Regulatory Readiness Innovation Units

Overview | Responsibilities | 2015 Accomplishments | 20016 Goals | Clinical Practice Champions

Collaborative Governance

Advisory Committees

Committee on Diversity and Inclusion

Ethics in Clinical Practice


Patient Education

Patient Experience

Clinical Practice Committee

Quality and Safety

Research and Evidence-Based Practice



Current Work:

  • The Insulin Guidelines are in the process of being reviewed; during the discussion some key points were made including: barcodes should be affixed to the syringe not the computer and scanned from there; patients who are on an insulin drip, and require titration to maintain the appropriate blood sugar, need to be transferred to a higher level of care.

  • All admitted patients are screened for pain. If patient denies pain, no further assessment needed unless the patient receives analgesic or has a procedure requiring sedation

  • The Flexi-Seal product replaces the Dignishield product for stool management. The balloon should never be filled beyond 45 ml

2019 Accomplishments

  • Partnered with IV Therapy to educate staff nurses on recent changes to IV practice (including changes in frequency of IV changes, dressing changes and management of lines); including hands on demonstration of flushing techniques.

  • Reviewed, revised and approved over fifty nursing policies/procedures which impact patient care and nursing practice.

  • Collaborated with interprofessional colleagues on policies/procedures (i.e. insulin administration, medication administration) which directly impact patient care and nursing practice.

  • Collaborated with Materials Management on new products, issues with current products and opportunities to manage costs through efficiency and partnership with clinical nurses on waste reduction.

2020 Goals

  • Collaborate with CNS/NPS and medical librarians on ensuring that procedures are safe and evidence-based.

  • Promote champions knowledge of resources and opportunities to develop their knowledge of evidence-based practices.

  • Create greater opportunities for champions to bring forward issues, concerns and opportunities, that they encounter in their practice, which will improve the delivery of safe, effective care.

  • Continue to educate staff nurses on new and revised procedures at the unit/department level and across the MGH community.

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Meets the 2nd Tuesday of the month from 1-3:00 pm in the Sweet Room, Gray/Bigelow 432

Committee Contacts:

James Bradley, RN, Surgery, White 7

Leila Bucchino, RN Surgery, Staff Nurse, Phillips House 22

Lillian Ananian, RN, CNS, Blake 7


Mary Ellin Smith, RN, The Institute for patient Care

CG Clinical Practice Committee Champions

Clinical Practice Committee Overview

The Patient Care Services Clinical Practice Committee sub-Committee reviews and approves policies and procedures to ensure they are appropriately vetted and evidence-based. Champions review and approve products that are brought into the practice environment, including the plan for product roll-out. Champions should have an interest in influencing how the policies and procedures that guide practice are reviewed and implemented. They should also have an interest in being involved in the decisions to purchase and trial products in the clinical area. return to top


  • Enhance professional development.
  • Engage in joint projects with other Collaborative Governance committees.
  • Align the work of the committee with PCS strategic goals. return to top

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