Peer Audit and Feedback: A Documentation-Focused Quality Improvement Project.

IF 1.2 4区医学 Q4 HEALTH CARE SCIENCES & SERVICES

Quality Management in Health Care Pub Date : 2025-01-27 DOI:10.1097/QMH.0000000000000496

Michal I Glass, Kelly Powers, Laura M Magennis, Carmen L Shaw

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引用次数: 0

Abstract

Background and objectives: Nurses' documentation of communication, including notification of critical laboratory results (CLR), is important to ensure safe, high-quality care. Evidence supports peer audit with feedback as a quality improvement (QI) intervention to improve documentation. Nursing compliance with CLR documentation requirements was below goal for several years in an intensive care unit. To address this problem, a peer audit and feedback intervention was implemented and evaluated.

Methods: Compliance with CLR documentation requirements was evaluated pre- and postintervention, for a total of 12 months. The evaluation also included data from the peer audits and a survey to assess nurses' perceptions. The 5-month intervention was a timely peer audit and feedback of CLR events.

Results: CLR documentation compliance improved from 6.4% to 9.6% (50% improvement), which was clinically meaningful but not statistically significant. Nurses had overall positive perceptions of the peer audit and feedback as a QI tool, perceiving it as nonpunitive and helpful for improving practice.

Conclusion: Results support continued examination of peer audit and feedback to improve nursing documentation. Future projects should address the limited time for nurses to engage in QI projects.

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同行审计和反馈：以文件为中心的质量改进项目。

背景和目的：护士的沟通记录，包括关键实验室结果（CLR）的通知，对于确保安全、高质量的护理非常重要。证据支持同行审计与反馈作为质量改进（QI）干预，以改善文件。在重症监护室，护理人员对CLR文件要求的依从性低于目标数年。为了解决这个问题，我们实施并评估了同行审计和反馈干预措施。方法：对干预前后12个月的CLR文件要求的依从性进行评估。评估还包括来自同行审计的数据和一项评估护士观念的调查。为期5个月的干预是对CLR事件的及时同行审计和反馈。结果：CLR文件依从性从6.4%提高到9.6%（提高50%），有临床意义，但无统计学意义。护士对同行审计和反馈作为一种质量保证工具的总体看法是积极的，认为它是非惩罚性的，有助于改进实践。结论：结果支持继续检查同行审计和反馈，以改进护理文件。未来的项目应解决护士参与质量保证项目的时间有限的问题。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Quality Management in Health Care HEALTH CARE SCIENCES & SERVICES-

CiteScore

1.90

自引率

8.30%

发文量

108

期刊介绍： Quality Management in Health Care (QMHC) is a peer-reviewed journal that provides a forum for our readers to explore the theoretical, technical, and strategic elements of health care quality management. The journal''s primary focus is on organizational structure and processes as these affect the quality of care and patient outcomes. In particular, it: -Builds knowledge about the application of statistical tools, control charts, benchmarking, and other devices used in the ongoing monitoring and evaluation of care and of patient outcomes; -Encourages research in and evaluation of the results of various organizational strategies designed to bring about quantifiable improvements in patient outcomes; -Fosters the application of quality management science to patient care processes and clinical decision-making; -Fosters cooperation and communication among health care providers, payers and regulators in their efforts to improve the quality of patient outcomes; -Explores links among the various clinical, technical, administrative, and managerial disciplines involved in patient care, as well as the role and responsibilities of organizational governance in ongoing quality management.