The Admission Conference Call: A Novel Approach to Optimizing Pediatric Emergency Department to Admitting Floor Communication
| Autor: | Emma N. Schempf, Ronald A. Furnival, Scott Lunos, Jordan Marmet, Marissa A. Hendrickson, Abraham K. Jacob |
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| Rok vydání: | 2019 |
| Předmět: |
Attitude of Health Personnel
Leadership and Management Cross-sectional study MEDLINE Conference call Nursing Staff Hospital Article Likert scale 03 medical and health sciences Patient safety Patient Admission 0302 clinical medicine Medical Staff Hospital medicine Humans 030212 general & internal medicine Child business.industry Communication 030503 health policy & services Nursing Handoff Patient Handoff Emergency department medicine.disease Cross-Sectional Studies Patient Safety Medical emergency Emergency Service Hospital 0305 other medical science business |
| Zdroj: | Jt Comm J Qual Patient Saf |
| ISSN: | 1553-7250 |
| DOI: | 10.1016/j.jcjq.2019.02.008 |
| Popis: | Background Optimizing information sharing at transfer of care between teams is an important target for the improvement of patient safety. Traditional emergency department (ED)-to-floor handoffs do not support a shared mental model between physicians, residents, and nurses. This report describes and evaluates acceptance of a novel process for coordinating physician and nursing handoff calls for patients being admitted to an inpatient floor from a children's hospital ED. Methods The Admission Conference Call (ACC) is a single conference call including attendings, residents, and nurses from the ED and inpatient teams, currently used for 29.8% of admissions from one ED. Physicians and nurses were surveyed to assess perception of its effects on patient care. Results A total of 653 ACCs were conducted during 2017. The survey was completed by 43 nurses and 89 physicians. Mean Likert scale findings were in favor of the process supporting safe patient care (4.5/5; standard deviation [SD], 0.6); none said it increased risk. Ratings favored the process improving interdisciplinary alignment (4.0/5; SD, 0.8) and the benefits outweighing the inconvenience (3.9/5; SD, 0.9). Respondents were neutral on the effect of the ACC on throughput time (3.0/5; SD, 1.0). Logistical concerns were expressed; mean satisfaction was 6.8/10 (SD, 2.1). Free text comments varied widely, from pride to frustration. Conclusion The Admission Conference Call is a well-accepted alternative to a traditional multiple call process. Most participants believe it supports safe patient care. Further research is necessary to confirm measurable effects on patient outcomes, but this project provides encouragement to institutions considering innovative approaches. |
| Databáze: | OpenAIRE |
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