My hospital hires consultants-- pays them big bucks for ideas that a) aren't implemented in a realistic manner for nurses, and b) if committees formed of nurses were allowed to address the particular issues, it would cost less and be more effective. Point of fact the committees we do have of nurses have come up with incredibly creative ideas that do work. One nurse on my unit designed a "acuity index" form (gives point of difficulty do care to patient) that's works very well.
Consultants are a great idea-- mini think tanks that do the paper work for you, and not all of their ideas were bad.
In hospitals, In healthcare in fact, there is enormous opportunity for quality assurance consultants, given the affordable healthcare act and Medicare bundling reimbursement---toss in nursing input, and you're golden
As a for instance
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