Cook Children's Medical Center, University of Texas at Tyler, Fort Worth, TX.
Cook Children's Medical Center, University of Texas at Tyler, Fort Worth, TX; Child Plus Pediatrics, Texas Tech University, Saginaw, TX.
J Perianesth Nurs. 2024 Feb;39(1):16-23. doi: 10.1016/j.jopan.2023.04.008. Epub 2023 Aug 16.
To evaluate the impact of an evidence-based standardized bedside report within a pediatric ambulatory surgery center on length of handoff time, registered nurse (RN) workflow, and patient and family satisfaction.
Quality improvement project using an evidence-based standardized bedside report intervention with pre- and postimplementation evaluation of process and outcome measures.
In January 2019, a unit-based task force evaluated ways to improve current report process and consistency of communication between staff and families. Time from admit into Phase II until nursing handoff was measured pre- and postimplementation. Nursing workflow was measured by time to first RN assessment after admit to Phase II and the postimplementation nursing survey. Patient and family satisfaction were measured pre- and postimplementation from National Research Council Health.
Postimplementation, average handoff times decreased by 30%; average time from admit to the Phase II unit until the nursing handoff decreased by 28%. From the postimplementation RN survey, 100% RNs: (1) felt standardized bedside report had a positive impact on their workflow, (2) expressed confidence in giving and receiving reports, and (3) reported they had critical information to safely care for patients. Overall patient satisfaction was measured by How likely would you be to recommend this facility to your family and friends; 11.6% improvement over baseline scores was reported. Improved percentages of score improvement from baseline included: nurses explained things (4.42%), nurses listened carefully (4.3%), patient and family received consistent information (2.46%), care providers explained things (2.22%), and patient and family trusted nurses with care (1.74%).
Implementation of standardized bedside report resulted in (1) more expeditious times to handoff and first RN assessment, (2) overall positive impact on nursing workflow, and (3) improvements in patient and family satisfaction.
评估在儿科门诊手术中心实施基于证据的标准化床边报告对交接时间、注册护士（RN）工作流程以及患者和家属满意度的影响。
采用基于证据的标准化床边报告干预措施的质量改进项目，在实施前后评估过程和结果测量。
2019 年 1 月，一个以单位为基础的工作组评估了改进当前报告流程和工作人员与家属之间沟通一致性的方法。在实施前后，从进入第二阶段到护理交接的时间进行了测量。护理工作流程通过进入第二阶段后的首次 RN 评估时间和实施后的护理调查进行测量。患者和家属满意度在实施前后通过国家研究委员会健康进行测量。
实施后，平均交接时间缩短了 30%；从入院到第二阶段病房的平均交接时间减少了 28%。从实施后的 RN 调查中，100%的 RN 表示：（1）标准化床边报告对他们的工作流程有积极影响，（2）对报告有信心，（3）表示他们有重要信息来安全照顾患者。总体患者满意度通过您向家人和朋友推荐该机构的可能性来衡量；与基线得分相比，提高了 11.6%。从基线得分提高的百分比包括：护士解释了事情（4.42%）、护士仔细倾听（4.3%）、患者和家属获得了一致的信息（2.46%）、护理人员解释了事情（2.22%）和患者和家属信任护士的护理（1.74%）。
实施标准化床边报告导致：（1）交接和首次 RN 评估时间更快，（2）对护理工作流程产生整体积极影响，（3）提高了患者和家属的满意度。
