Download or read book Standardization of Handoff Communication for Improved Patient Outcomes written by Tiffany Pittman and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Individuals undergo many transitions of care during a hospitalization. Handoffs occur not only with nurses from shift-to-shift, but between units upon patient transfers, and to off-unit departments such as physical therapy (PT), occupational therapy (OT), and radiology. An essential part of caring for these individuals involves effective handoff communications between health care professionals. Research shows that ineffective handoffs between healthcare professionals can lead to many adverse events including information being miscommunicated, misdiagnosis, problems with oxygen administration, or even death. Having a standardized method of handoff communication facilitates better communication between healthcare professionals and improves patient outcomes.
Download or read book Creation and Implementation of a Standardized Report Handoff Tool for CRNAs to Improve Communication During Patient Handoff written by Jessica Ewalt and published by . This book was released on 2018 with total page 84 pages. Available in PDF, EPUB and Kindle. Book excerpt: Patient care handoff between providers is a time of uncertainty, filled with many opportunities for critical patient information to become lost or forgotten, which can ultimately lead to medical errors and poor patient outcomes. In response to this problem, various standardized handoff tools have been created for use among all healthcare providers, though few are made for specialized areas of care such as anesthesia. A review of the literature showed that standardized handoff tools not only reduce errors in communication but also improved provider satisfaction. -- from the abstract
Download or read book The Application of a Standardized Handoff Approach in a Community Hospital Setting written by Rebecca D. Hartley and published by . This book was released on 2018 with total page 98 pages. Available in PDF, EPUB and Kindle. Book excerpt: Handoffs are the transfer of care, involving communication of important clinical information, transfer of responsibility, and collaboration between clinicians, assuring safe transfer of care from one clinician or department to another. Inadequate handoffs may result in serious events that compromise patient outcomes and influence care provider's perceptions of handoff processes. Handoff communication stood as a critical patient safety issue and was identified as being an area of risk at the project organization. This risk was associated with inconsistent phone report processes and low scores concerning handoffs on the AHRQ Hospital Survey on Patient Safety Culture. Using the Plan, Do, Study, Act quality improvement cycle, this project focused on the implementation of an evidenced-based standardized handoff tool to provide consistency in information transfer from the Emergency Department to the Medical Unit or Surgical Unit; and the Post Anesthesia Care Unit to the Surgical Unit. The goal of this project was to streamline processes, reduce waste. and promote quality communication of essential care elements to improve nurse's perceptions of handoff transitions. As a part of this process, direct care nurses were involved in developing and implementing the handoff tool, with the goal of improving staff perceptions of handoff processes using the AHRQ Hospital Survey on Patient Safety Culture handoff and transition survey questions to evaluate the outcomes of quality improvement project. Results reflected no statistical change in any of the four handoff questions, although qualitative feedback did suggest positive implications associated with the implementation of the new handoff standard work. Keywords: patient handoff, clinical competence, quality of care, nurse perceptions
Download or read book Implementation Toolkit for Clinical Handover Improvement written by Australian Commission on Safety and Quality in Health Care and published by . This book was released on 2011 with total page 55 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Resident Duty Hours written by Institute of Medicine and published by National Academies Press. This book was released on 2009-04-27 with total page 427 pages. Available in PDF, EPUB and Kindle. Book excerpt: Medical residents in hospitals are often required to be on duty for long hours. In 2003 the organization overseeing graduate medical education adopted common program requirements to restrict resident workweeks, including limits to an average of 80 hours over 4 weeks and the longest consecutive period of work to 30 hours in order to protect patients and residents from unsafe conditions resulting from excessive fatigue. Resident Duty Hours provides a timely examination of how those requirements were implemented and their impact on safety, education, and the training institutions. An in-depth review of the evidence on sleep and human performance indicated a need to increase opportunities for sleep during residency training to prevent acute and chronic sleep deprivation and minimize the risk of fatigue-related errors. In addition to recommending opportunities for on-duty sleep during long duty periods and breaks for sleep of appropriate lengths between work periods, the committee also recommends enhancements of supervision, appropriate workload, and changes in the work environment to improve conditions for safety and learning. All residents, medical educators, those involved with academic training institutions, specialty societies, professional groups, and consumer/patient safety organizations will find this book useful to advocate for an improved culture of safety.
Download or read book Vignettes in Patient Safety written by Michael S. Firstenberg and published by BoD – Books on Demand. This book was released on 2018-01-10 with total page 204 pages. Available in PDF, EPUB and Kindle. Book excerpt: Over the past two decades, the healthcare community increasingly recognized the importance and the impact of medical errors on patient safety and clinical outcomes. Medical and surgical errors continue to contribute to unnecessary and potentially preventable morbidity and/or mortality, affecting both ambulatory and hospital settings. The spectrum of contributing variables-ranging from minor errors that subsequently escalate to poor communication to lapses in appropriate protocols and processes (just to name a few)-is extensive, and solutions are only recently being described. As such, there is a growing body of research and experiences that can help provide an organized framework-based upon the best practices and evidence-based medical principles-for hospitals and clinics to foster patient safety culture and to develop institutional patient safety champions. Based upon the tremendous interest in the first volume of our Vignettes in Patient Safety series, this second volume follows a similar vignette-based model. Each chapter outlines a realistic case scenario designed to closely approximate experiences and clinical patterns that medical and surgical practitioners can easily relate to. Vignette presentations are then followed by an evidence-based overview of pertinent patient safety literature, relevant clinical evidence, and the formulation of preventive strategies and potential solutions that may be applicable to each corresponding scenario. Throughout the Vignettes in Patient Safety cycle, emphasis is placed on the identification and remediation of team-based and organizational factors associated with patient safety events. The second volume of the Vignettes in Patient Safety begins with an overview of recent high-impact studies in the area of patient safety. Subsequent chapters discuss a broad range of topics, including retained surgical items, wrong site procedures, disruptive healthcare workers, interhospital transfers, risks of emergency department overcrowding, dangers of inadequate handoff communication, and the association between provider fatigue and medical errors. By outlining some of the current best practices, structured experiences, and evidence-based recommendations, the authors and editors hope to provide our readers with new and significant insights into making healthcare safer for patients around the world.
Download or read book Handoff Communications written by and published by . This book was released on 2008 with total page 86 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Joint Commission's National Patient Safety Goal 2E (Implement a standardized approach to handoff communications.) is designed to help health care organizations prevent communication breakdowns that result in patient harm. Created to help organizations understand an implement National Patient Safety Goal 2E, this ready-to-use toolkit includes a spiral-bound Implementation Guide that explains how to implement proper handoff communication processes and techniques, with case studies on effective handoff programs. The accompanying CD-ROM contains more than 40 additional tools and resources to help organizations create or improve their patient handoff process, including practical forms, slide presentations, handouts, and video clips.
Download or read book Crossing the Quality Chasm written by Institute of Medicine and published by National Academies Press. This book was released on 2001-07-19 with total page 359 pages. Available in PDF, EPUB and Kindle. Book excerpt: Second in a series of publications from the Institute of Medicine's Quality of Health Care in America project Today's health care providers have more research findings and more technology available to them than ever before. Yet recent reports have raised serious doubts about the quality of health care in America. Crossing the Quality Chasm makes an urgent call for fundamental change to close the quality gap. This book recommends a sweeping redesign of the American health care system and provides overarching principles for specific direction for policymakers, health care leaders, clinicians, regulators, purchasers, and others. In this comprehensive volume the committee offers: A set of performance expectations for the 21st century health care system. A set of 10 new rules to guide patient-clinician relationships. A suggested organizing framework to better align the incentives inherent in payment and accountability with improvements in quality. Key steps to promote evidence-based practice and strengthen clinical information systems. Analyzing health care organizations as complex systems, Crossing the Quality Chasm also documents the causes of the quality gap, identifies current practices that impede quality care, and explores how systems approaches can be used to implement change.
Download or read book Effective Communication in Clinical Handover written by Suzanne Eggins and published by Walter de Gruyter GmbH & Co KG. This book was released on 2016-03-21 with total page 368 pages. Available in PDF, EPUB and Kindle. Book excerpt: Based on detailed multi-disciplinary analyses of more than 800 recorded handover interactions, audits of written handover documentation, interviews and survey responses, the contributing authors identify features of effective and ineffective clinical handovers in diverse hospital contexts. The authors then translate their descriptive findings into practical protocols, communication strategies and checklists that clinicians, managers and policy makers can apply to improve the safety and quality of clinical handovers. All the contributors are affiliated with the International Research Centre for Communication in Healthcare (IRCCH), an international multidisciplinary organisation of over 90 healthcare professionals from more than 17 countries committed to improving improving communication in healthcare systems around the world. 'The authors have created a new and tightly woven systems safety net that will, if implemented, significantly reduce the occurrence of errors resulting from cumulative communication failures.' -H. Esterbrook Longmaid III, MD, FACR, President of Medical Staff, Beth Israel Deaconess-Milton Hospital, Milton, MA USA 'Uncommonly valuable for the rigorous, original communication research it reports and for the careful translation of the research findings into practical strategies that actually improve clinical handovers in the real world of practice.' -Professor Suzanne Kurtz, Washington State University 'This clear, plain English book is an outstanding resource for the training of all involved in healthcare.' -Elizabeth Trickett, (Former) Director of Safety and Quality, ACT Health, Australia
Download or read book Implementing the I pass Handoff Tool to Improve Communication Efficiency and Patient Safety from the Emergency Department Provider to the Hospitalist written by Jenna Marie Chapa and published by . This book was released on 2019 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: "The emergency department is a busy, complex area in hospitals. There are constant disruptions and time-pressured decisions that need to be made for patient care to be safe and efficient. A comprehensive literature review was completed to identify a standardized format for patient handoff at the time of admission from the emergency department (ED). Research demonstrated that the use of the mnemonic Introduction/Illness severity, Patient summary, Action list, Situation awareness, and Synthesis by receiver (I-PASS) for handoff increased communication, efficiency, and patient safety (Heilman et al., 2016; Lee et al., 2017; Starmer et al., 2014; Starmer et al., 2016). This evidence-based practice (EBP) change project describes the success of implementing I-PASS as a standardized handoff tool between emergency department providers. Small group and individual educational sessions were offered on I-PASS usage among 10 providers. Communication was evaluated by the inclusion of the I-PASS elements in handoff observations. Efficiency was measured in seconds for the time taken to complete handoffs by direct observation. Patient safety was assessed by the number of patients moved to a higher level of care within six hours of admission from the ED. The results showed I-PASS increased communication, efficiency, and improved patient safety. Keywords: standardized handoff, I-PASS, communication, efficiency, patient safety " -- Abstract
Download or read book Standardizing the Bedside Shift Report Process to Improve Communication and Promote Patient Safety written by Gilbert Young and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Title: Standardizing the Bedside Shift Report Process to Improve Communication and Promote Patient Safety. Author: Gilbert Young, RN, BSN Setting: Unit 1 North is a 32-bed cardiovascular specialty unit that specializes in the care of post-cardiac surgery and complex telemetry patients. The typical length of stay is between 5-7 days. Patients are admitted to the unit from the ICU, ED, or other medical facility for cardiac surgery. Rationale: The quality gaps are nurse communication HCAHPS scores not being consistent with performance goals, the unit had 16 documented patient falls in 2016, and patient surveys and staff handoff observations supported the need for this project. The project aim is to (1) improve nurse communication, (2) increase the nurses' consistency and satisfaction with handoff (3) implement the clinical report tool, and (4) reduce patient falls by 25% on cardiovascular specialty unit by August 2017. Return on Investment: Reducing four patient falls or 25% of last year's total will be an annual cost avoidance of $120,000 once this performance improvement plan is implemented. The initial annual savings is estimated at $110,300 Literature Review: The studies assert the importance of bedside report as a means to include the patient, eliminate information gaps, visualize the patient and surroundings for patient safety, and improve team communication. Additional studies examined the use of a standardized nursing handoff tool and saw improvement in patient satisfaction and a reduction in nursing errors. Methodology: Institute of Healthcare Improvement model for improvement and Lewin's change management model. Collaborated with unit council to develop clinical handoff tool. Educational plan includes PowerPoint presentation and simulation sessions. Project implemented in February 2017 and guided by PDSA (plan-do-study-act) cycle. Nurse leaders to observe use of clinical handoff tool during shift handoff. Results: Since implementation in February, average daily census of 32 patients and averaged 66 survey responses each month. Nurse communication scores have been consistently 4 Stars since implementation of this QI project. Current HCAHPS scores up to May 2017. There was a 12.5% reduction in patient falls compared to the same time period last year. Nurse leader observation of NKE using the handoff competency checklist demonstrated successful use of the handoff tool by all nurses, including remediation for some staff. Patient and staff surveys revealed positive improvements in seeking patient input and staff experiencing more satisfaction with the quality if information they receive at shift handoff.
Download or read book Keeping Patients Safe written by Institute of Medicine and published by National Academies Press. This book was released on 2004-03-27 with total page 485 pages. Available in PDF, EPUB and Kindle. Book excerpt: Building on the revolutionary Institute of Medicine reports To Err is Human and Crossing the Quality Chasm, Keeping Patients Safe lays out guidelines for improving patient safety by changing nurses' working conditions and demands. Licensed nurses and unlicensed nursing assistants are critical participants in our national effort to protect patients from health care errors. The nature of the activities nurses typically perform â€" monitoring patients, educating home caretakers, performing treatments, and rescuing patients who are in crisis â€" provides an indispensable resource in detecting and remedying error-producing defects in the U.S. health care system. During the past two decades, substantial changes have been made in the organization and delivery of health care â€" and consequently in the job description and work environment of nurses. As patients are increasingly cared for as outpatients, nurses in hospitals and nursing homes deal with greater severity of illness. Problems in management practices, employee deployment, work and workspace design, and the basic safety culture of health care organizations place patients at further risk. This newest edition in the groundbreaking Institute of Medicine Quality Chasm series discusses the key aspects of the work environment for nurses and reviews the potential improvements in working conditions that are likely to have an impact on patient safety.
Download or read book Guide to Health Informatics written by Enrico Coiera and published by CRC Press. This book was released on 2015-03-06 with total page 690 pages. Available in PDF, EPUB and Kindle. Book excerpt: This essential text provides a readable yet sophisticated overview of the basic concepts of information technologies as they apply in healthcare. Spanning areas as diverse as the electronic medical record, searching, protocols, and communications as well as the Internet, Enrico Coiera has succeeded in making this vast and complex area accessible and understandable to the non-specialist, while providing everything that students of medical informatics need to know to accompany their course.
Download or read book Improving Post Anesthesia Care Unit Handoff Implementation of a Standardized SBAR Tool written by Martin E. Ibeawuchi and published by . This book was released on 2019 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Patient safety may be at risk when details are omitted during anesthesia handoff. According to the Joint Commission (2015), up to 80% of serious medical errors occur due to miscommunication from one provider to another. Therefore, the purpose of this project was to introduce a structured, standardized, and consistent handoff tool for use between Certified Registered Nurse Anesthetists (CRNA) and Post Anesthesia Care Unit (PACU) nurses that will result in increased knowledge and increased rates of tool use. Prior research supported the use of an effective communication tool in the clinical setting to improve the handoff process. The Situation, Recommendation, Background, and Assessment (SBAR) handoff communication tool was implemented. There were two phases of the project implementation. Phase one was a didactic SBAR educational intervention taught by the project manager (PM). There was a pre and post SBAR knowledge test given and data was collected. The second phase focused on the observation of patient handoffs in the PACU. The measured outcomes of the EBP project demonstrated a 17% aggregate mean posttest score increase indicating a significant improvement in knowledge. Implementation of the SBAR led to evidence-based change in practice, standardization, and improved anesthesia handoff communication. Keywords: Handoff, communication, standardized handoff communication, post-anesthesia checklist, patient safety, and post-anesthesia care unit. " -- Abstract
Download or read book Standardizing the Bedside Shift Report Improving Communications and Promoting Patient Safety written by Chona C. Alforque and published by . This book was released on 2020 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: PROBLEM: Nursing shift reports are integral to nursing as they allow for the transfer of critical information and responsibility of patient care from one nurse to another. Ineffective communication during shift-to-shift reports can contribute to gaps in patient care and breaches in patient safety, including medication errors, falls, and sentinel events. The greatest risk of communication breakdown is during transitions in care. CONTEXT: St. Louise Regional Hospital, a small community hospital, consisting of an eight-bed medical-surgical intensive care unit lacked structure in how handoff should occur and had variances in shift handoffs. Observation of the shift handoff at the nurses' station revealed many communication gaps that have shown negative impacts on patient safety and outcomes. The improvement project described in this paper focused on evidence-based practices that support the benefits of bedside shift and implementations of standardized handoff tools. INTERVENTION: Intervention included an education in-service for unit managers, educational coordinators, and staff nurses to emphasize the important benefits of bedside shift report. MEASURES: The three components for evaluating improvement include outcome, process, and balancing measures to determine whether the improvement project has had the desired impact. The outcome measure expected to yield the following: direct observation of nurses during bedside report to calculate how often is being done, monitor for decrease in overtime due to more efficient shift-to-shift bedside reports, and a review of risk management reports observing for effect on the number and severity of medication errors. RESULTS: The outcome measure is to increase the nurses' compliance with bedside shift report in the intensive care unit to at least 80% within six months of implementation. CONCLUSION: With the proposed change, bedside shift report will addresses all the safety hazards by reducing adverse events, such as medical errors, patient falls at shift change, and sentinel events. Bedside shift report improves patient safety, enhances the quality of care, improves patient and nurse satisfaction, decrease unnecessary healthcare expenditure, and saves time.
Download or read book Quality Management in Intensive Care written by Bertrand Guidet and published by Cambridge University Press. This book was released on 2016-02-15 with total page 273 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book is one of the first to comprehensively summarise the latest thinking and research in the rapidly evolving field of quality management in intensive care. Quality indicators and outcome measures are discussed with a practical focus on patient-centred, evidence-based implementation for safer and more effective clinical practice. Chapters on topics such as teambuilding, patient satisfaction, mortality and morbidity, and electronic management systems are organised into three sections, covering quality management at the scale of the individual patient, the intensive care unit, and the national and international level. Written by a team of over forty international experts in the specialty, with editors who have been heavily involved for many years with the European Society of Intensive Care Medicine, the book reflects commonly accepted goals and guidelines for best practice, and will be valuable for practitioners worldwide. The ideal one-stop resource for intensive care physicians as well as ICU and hospital managers.
Download or read book Improving Hand Off Communication from Primary Care to Emergency Department written by Brian W. Cobbs and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: A hand-off represents the transfer of patient information and care responsibility between a sending and receiving provider. Hand-offs occur in single locations such as inpatient wards and across care settings like from primary care offices to emergency departments. This care transition quality improvement (QI) project was created to improve patient hand-off communication from a primary care office to a hospital based emergency department within the greater Phoenix, AZ metropolitan area. No uniform hand-off process existed before the QI project. The purpose of the QI project was to demonstrate process necessary to achieve desired outcomes, in this case, a superior patient hand-off. The QI project goal was to develop a standardized hand-off protocol and tool. The aim of this QI project was to replace existing hand-off methods with a formalized new hand-off process and tool used during care transition from a primary care office to an emergency department. QI project methods followed two (2) plan-do-study-act (PDSA) cycles involving QI team meetings and end-user feedback that iteratively led to the adoption of a standardized hand-off process and tool. PDSA cycle one identified the best handoff tool. PDSA cycle two established an efficient process for conducting hand-offs. The new hand-off tool consistently demonstrated superior information transfer. Program participant satisfaction increased and was reflected by positive feedback as most nurses and doctors embraced the new process.
