Quality improvement and patient care checklists in intrahospital transfers involving pediatric surgery patients
| Autor: | Sally S. Lester, Joshua B. Glenn, Darla R. Rich, Bryan C. Weidner, Issam J. Shaker, Don K. Nakayama |
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| Rok vydání: | 2011 |
| Předmět: |
Patient Transfer
medicine.medical_specialty Quality management business.industry Incidence (epidemiology) MEDLINE General Medicine medicine.disease Quality Improvement Patient care Checklist Patient safety Multidisciplinary approach Surgical Procedures Operative Pediatrics Perinatology and Child Health Pediatric surgery medicine Humans Surgery Medical emergency business Child |
| Zdroj: | Journal of pediatric surgery. 47(1) |
| ISSN: | 1531-5037 |
| Popis: | Intrahospital transfers are necessary but hazardous aspects of pediatric surgical care. Plan-Do-Study-Act processes identify risks during hospitalization and improve care systems and patient safety.A multidisciplinary team developed a checklist that documented patient data and handoffs for all intrahospital transfers involving pediatric surgical inpatients. The checklist summarized major clinical events and provided concurrent summaries by 3-month quarters (Q) over 1 year.There were 903 intrahospital transfers involving 583 inpatients undergoing surgery. Total handoffs were documented in 436 (75% of 583), with greater than 1 handoff in 202 (46% of 436). Documented problems occurred in 31 transfers (3.4%), the most during Q1 (19/191; 9.9%). Incidence fell to 3.5% (9/260) in Q2, 0.4% (1/243) in Q3, and 1.0% (2/209) in Q4 (P.001). Patient care issues (14/31; 45%) were most common, followed by documentation (10, 32%) and process problems (7, 23%). The quality improvement team was able to resolve patient instability during transport (5 in Q1, none in Q3, Q4) and poor pain control (3 in Q2, 1 in Q3, Q4). Of the patients, 3.2% had identified problems with patient care during intrahospital transfer.Plan-Do-Study-Act review emphasizes ongoing process analysis by multidisciplinary teams. Checklists reinforce communication and provide feedback on whether system goals are being achieved. |
| Databáze: | OpenAIRE |
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