A PICU patient safety checklist: rate of utilization and impact on patient care
| Autor: | W. David Creery, Maelle G.R. Marchand, Brianna L. Mckelvie, James Dayre McNally, Kusum Menon, Deepti Reddy |
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| Rok vydání: | 2016 |
| Předmět: |
Evidence-based practice
Intensive Care Units Pediatric Severity of Illness Index 03 medical and health sciences Patient safety 0302 clinical medicine Severity of illness Health care Humans Medicine Prospective Studies 030212 general & internal medicine Prospective cohort study Ontario Pediatric intensive care unit business.industry Health Policy Public Health Environmental and Occupational Health 030208 emergency & critical care medicine General Medicine Hospitals Pediatric medicine.disease Checklist Outcome and Process Assessment Health Care Practice Guidelines as Topic Observational study Guideline Adherence Patient Safety Medical emergency business |
| Zdroj: | International Journal for Quality in Health Care. 28:371-375 |
| ISSN: | 1464-3677 1353-4505 |
| DOI: | 10.1093/intqhc/mzw042 |
| Popis: | Objective In healthcare, checklists help to ensure patients receive evidence-based, safe care. Since 2007, we have used a bedside checklist in our PICU to facilitate daily discussion of care-related questions at each bedside. The primary objective of this study was to assess compliance with checklist use and to assess how often individual checklist elements affected patient management. A secondary objective was to determine whether patient and unit factors (severity of illness, unit census, weekday vs. weekend, admitting diagnosis group) influenced checklist use. Design This was a prospective observational study. A research assistant attended daily bedside rounds to collect data at each eligible patient encounter. Setting The study was conducted in the Children's Hospital of Eastern Ontario (CHEO) PICU, a 12-bed cardiac and medical-surgical unit. Participants Included all patients admitted to the PICU prior to 6 am and who were not being discharged that day. Intervention A bedside rounds checklist. Main Outcome Measures Included compliance and whether the checklist affected the patient's management plan. Results A total of 148 encounters were collected on 28 days between September 2013 and February 2014. Compliance with the checklist was 89.2% (132/148; 95% CI 83.2–93.2%) and was not influenced by admitting diagnosis group, patient census, severity of patient's conditions or weekday/weekend status. The checklist affected the patient management plan 52.6% of the time (69/132; 95% CI 44.2–61%). Conclusions Our study found high rates of compliance with an established checklist that has been in use in the PICU since 2007. Checklist use frequently resulted in a change in the patient management plan. |
| Databáze: | OpenAIRE |
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