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A Quality Improvement Project to Improve Interprofessional Communication on a Pediatric Orthopedic Inpatient Unit

Peterzalek, Chelsi Nicole
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Abstract
Background: Improving interprofessional communication is a priority in healthcare. It is well documented that there is a relationship between miscommunication of members of a healthcare team and poor patient outcomes. Addressing communication lapses within the interprofessional team will decrease adverse events and promote positive patient outcomes. Purpose: This project aims to identify barriers and facilitators to interprofessional communication and implement a pilot communication process that was tailored to specific organizational needs. Method: This project will take place on a pediatric orthopedic inpatient unit at a pediatric academic medical center in a Midwestern city. Both James Reason’s Theory of Human Error and the Plan, Do, Study, Act (PDSA) cycle structure the project and be used as the conceptual and theoretical frameworks. This quality improvement project is conducted in two phases. The first phase assesses the barriers, facilitators, and processes to interprofessional communication. This assessment was obtained through semi-structured interviews with off-shift providers and nursing staff. The second phase is implementation of the Waitlist it! tool and utilization of the Situation, Background, Assessment, and Recommendation (SBAR) communication tool. The goal was to create effective communication between interprofessional team members. Results: The communication process was analyzed through voluntary interviews of staff, development of diagrams, and collection of specific data on log sheets, including change in mean call back time, adherence to the communication intervention and nurse and provider satisfaction with the intervention. Overall, the results displayed the new communication process improved interprofessional communication on the orthopedic unit at Children’s Mercy hospital.
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Date
2021-05-31
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University of Kansas
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Keywords
Communication, Nursing, collaboration, interprofessional communication, night shift
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