Improving safety and communication for healthcare providers caring for SARS-COV-2 patients

Autor: Ahmed Taher, Peter Glazer, Chris Culligan, Stephanie Crump, Steven Guirguis, Jennifer Jones, Alia Dharamsi, Lucas B. Chartier
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: International Journal of Emergency Medicine, Vol 15, Iss 1, Pp 1-8 (2022)
Druh dokumentu: article
ISSN: 1865-1372
1865-1380
DOI: 10.1186/s12245-022-00464-y
Popis: Abstract Background Decreasing healthcare provider (HCP) exposure to the severe acute respiratory syndrome coronavirus 2 (SARS-COV-2) virus in emergency departments (EDs) is crucial. Approaches include limiting the HCP presence and ensuring sealed isolation rooms, which can result in communication difficulties. This quality improvement (QI) initiative aimed to decrease by 50% duration of isolation room door opening and increasing HCP-perceived communication clarity by one point on a five-point Likert scale. Methods This was a prospective, multi-stage project with three Plan-Do-Study-Act (PDSA) cycles between May and July 2020: (1) an educational intervention, (2) the introduction of a novel transceiver communication device, and (3) utilizing a clinical champion. Statistical Process Control XbarR charts were used to assess for special cause variation, and two-tailed Mann-Whitney U tests were used for statistical significance between Likert survey means. Qualitative responses underwent thematic analysis. Results Observation of 174 patient encounters was completed over 33 days, with 95 meeting the inclusion criteria. Door opening decreased from baseline (n=40; mean 72.97%) to PDSA 3 (n=21; mean 1.58%; p
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