No-Pass Zone Model

While the facility in the article had implemented hourly rounding with attention to pain, personal care, and positioning; they continued to score lower on patient satisfaction. In an effort to increase Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) scores, the facility issued the “call bell challenge” putting the no-pass zone model into effect. The no-pass zone means no one passes a lit call light. For this model to work successfully, the entire staff was educated for safe and job appropriate responses to call lights. The facility also added the “fourth p, perimeter,” making sure before leaving a room the patient has what they need or may want within reach. These tools, when properly implemented, insure improved