Abstract P149: Standardization of Emergency Responses in the Cardiovascular Intensive Care Unit
| Autor: | Aubrie G Booth, Kathleen M Burns, Jeannie M Byrd, Kirk D Krokosky, Leanna R Miller, Chad E Wagner, John A McPherson |
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| Rok vydání: | 2011 |
| Předmět: | |
| Zdroj: | Circulation: Cardiovascular Quality and Outcomes. 4 |
| ISSN: | 1941-7705 1941-7713 |
| DOI: | 10.1161/circoutcomes.4.suppl_2.ap149 |
| Popis: | Background: An unexpected medical crisis may impair normal decision-making processes and clinical practices. If handled inappropriately, the management of emergency situations can present risks to patient safety and potentially worsen patient outcomes. Aim: In order to improve patient safety and quality of care, our Cardiovascular Intensive Care Unit (CVICU) developed and implemented standardized emergency response (SER) protocols for medical and surgical emergencies. Methods: We completed a literature review and, through surveys of CVICU staff, an assessment of our current practice and identified gaps in our process. Identified gaps included: (1) excessive staff at the bedside; (2) lack of noise discipline; (3) lack of a clearly defined role for each healthcare provider involved; (4) lack of a clearly identified code leader; and (5) ineffective communication throughout the response. We used these identified gaps to help create specific objectives for this initiative. With key CVICU stakeholders, we created a SER model and staff education plan. In order to measure the efficacy of our standardization initiative, we also created a debriefing tool to be used after each response. All CVICU staff successfully completed the SER education and training. This training included a video, a slide presentation, a skills check-off, and an assessment quiz. The SER protocol was implemented after all staff members completed their training Results: Since the implementation of the SER protocol, we have reviewed nine emergency response events with the debriefing tool. In 5 of the 9 events (56%), CVICU staff noted improvements in all of the following: (1) timely physician response; (2) clear leader identification; (3) team communication; and (4) performance of appropriate roles by team members. Avoidance of non-essential staff was improved in 7 of 9 (78%) events, and noise control was improved in 6 of 9 (67%) events. Conclusions: Assessment of performance gaps in emergency response facilitated the development of an effective SER protocol. Implementation of an SER resulted in improvement of most identified gaps in our facility, as measured by a debriefing tool. An SER protocol with systematic debriefing may positively impact crisis management in the CVICU. |
| Databáze: | OpenAIRE |
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