Handoff Tool Improves Transitions from the Operating Room to the Neonatal Intensive Care Unit.

IF 1.2 Q3 PEDIATRICS
Pediatric quality & safety Pub Date : 2023-10-07 eCollection Date: 2023-09-01 DOI:10.1097/pq9.0000000000000695
Julie B Gallois, Jessica A Zagory, Brian Barkemeyer, Michelle Knecht, Lauren Richard, Kathleen Vincent, David Sciacca, Crystal Maise-Dykes, Christy Mumphrey
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引用次数: 0

Abstract

Introduction: Standardized handoffs reduce medical errors and prevent adverse events or near misses. This article describes a quality improvement initiative implementing a unique standardized handoff tool and process to transition from the operating room to the neonatal intensive care unit (NICU) at a level-four regional center with many inpatients requiring surgical intervention. Before this project, there was no standardized handoff tool or process for postsurgical transitions. The primary aim was to achieve 80% compliance with completing a structured postoperative OR to NICU handoff tool within 12 months of implementation.

Methods: An interdisciplinary team developed and implemented a standardized NICU postoperative handoff tool and process that requires face-to-face communication, defines team members who should be present, and highlights communication with the family. In addition, the handoff tool compliance and process measures were monitored, evaluated, and audited.

Results: Although not consistent, we achieved eighty percent compliance with the outcome measures using the handoff tool. We did not sustain 80% of appropriate providers present at handoff. In addition, insufficient data assess overall parental satisfaction with the surgical experience. Although improved, the process measure of immediate postoperative family updates did not reach the targeted goal. However, the balancing measure of staff experience and satisfaction did improve.

Conclusion: Implementing a standardized handoff tool and process with an interdisciplinary and interdepartmental collaboration improves critical patient transitions from the operating room to the NICU.

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交接工具改善了从手术室到新生儿重症监护室的过渡。
简介:标准化交接减少了医疗失误,防止了不良事件或未遂事件。本文描述了一项质量改进计划,该计划实施了一种独特的标准化交接工具和流程,以在四级地区中心从手术室过渡到新生儿重症监护室(NICU),许多住院患者需要手术干预。在这个项目之前,没有标准化的术后过渡交接工具或流程。主要目标是在实施后12个月内完成结构化的术后OR到NICU的交接工具,达到80%的依从性。方法:一个跨学科团队开发并实施了一个标准化的新生儿重症监护室术后交接工具和流程,该工具和流程需要面对面沟通,确定应该在场的团队成员,并强调与家人的沟通。此外,对移交工具合规性和过程措施进行了监测、评估和审计。结果:尽管不一致,但我们使用切换工具实现了80%的结果测量符合性。在移交时,我们没有维持80%的合适供应商。此外,评估父母对手术体验的总体满意度的数据不足。尽管有所改善,但术后立即更新家庭的过程测量并没有达到目标。然而,衡量工作人员体验和满意度的平衡指标确实有所改善。结论:通过跨学科和跨部门的合作,实施标准化的交接工具和流程,可以改善危重患者从手术室到新生儿重症监护室的过渡。
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
CiteScore
2.20
自引率
0.00%
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0
审稿时长
20 weeks
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