Improving Family-Centered Rounds With a Nursing Checklist in the Electronic Health Care Record.

Autor:	Madduri GB; Department of Pediatrics.; Division of Pediatric Hospital Medicine, Department of Pediatrics., Nichols T; Department of Pediatrics.; Division of Pediatric Hospital Medicine, Department of Pediatrics., Gunturkun F; Biomedical Informatics Research Division, Quantitative Sciences Unit, Standford University School of Medicine., Johnson D; Director of Women's and Children's Services., Lum A; Learning and Development Department, John Muir Medical Center, Walnut Creek, California., Shaner MA; The George Washington University Milken Institute of Public Health, Washington, District of Columbia.; University of Michigan Medical School, Ann Arbor, Michigan., Weng Y; Biomedical Informatics Research Division, Quantitative Sciences Unit, Standford University School of Medicine., Srinivas N; Division of Pediatric Hospital Medicine, Department of Pediatrics., Dos Santos L; Department of Pediatrics.; Division of Pediatric Hospital Medicine, Department of Pediatrics.
Jazyk:	angličtina
Zdroj:	Hospital pediatrics [Hosp Pediatr] 2024 Nov 01; Vol. 14 (11), pp. 919-927.
DOI:	10.1542/hpeds.2023-007469
Abstrakt:	Objective: Family-centered rounds (FCR) is the standard for pediatric communication, but community pediatric hospital medicine services may face barriers in implementation, including offering FCR to families with a language preference other than English (LOE) versus those with an English preference (EP). The goal of our quality improvement project was to increase FCR from 33% to 80% over 1 year. Methods: Interventions included an FCR checklist integrated into the electronic healthcare record (EHR-FCR checklist), staff education, visual prompts, and interpreters. Our primary outcome measure was weekly % FCR. Our main process measure was weekly % nursing documentation. To address language inclusion, we compared FCR encounters for families with LOE versus EP. The use of the checklist without interventions was assessed during the sustain period. Control charts were used to analyze measures. Fisher's exact test was used to compare FCR for families with LOE versus EP. Results: FCR increased to 81% during the intervention period and then decreased to 73% during the sustain period. Nursing documentation increased to 93% with the EHR-FCR checklist implemented as a flowsheet. There was no statistical difference in the proportion of families with LOE versus EP who participated in FCR (84% versus 81%, P = .38) during the intervention period; a statistically higher proportion of families with LOE participated in FCR during the sustain period (87% vs 72%, P <.01). Conclusions: We increased documented FCR on our community pediatric hospital medicine service, including FCR for families with LOE, by implementing a nursing-completed EHR-FCR checklist supported by staff education, visual prompts, and interpreters. (Copyright © 2024 by the American Academy of Pediatrics.)
Databáze:	MEDLINE
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