Reduction in Pediatric Identification Band Errors: A Quality Collaborative

Phillips, Shannon; Saysana, Michele; Worley, Sarah; Hain, Paul D.

doi:10.1542/peds.2011-1911

Cited by 22 publications

(15 citation statements)

References 19 publications

(19 reference statements)

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“…Recently, the successes of 2 other parallel PHM-VIP collaboratives with similar low-resource constructs have been published. 18,19 Collectively, these works support the notion that effi cient approaches may exist to effect change across multiple sites. Evaluating the components of the collaborative "community" that are effective in facilitating change, as well as the specifi c aspects of interventions that are generalizable across contexts, remains a primary challenge in implementation science.…”

Section: Discussionsupporting

confidence: 56%

Pediatric Hospitalists Collaborate to Improve Timeliness of Discharge Communication

Shen

Hershey

Bergert

et al. 2013

Hospital Pediatrics

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Objectives: The transition of care from hospital to primary care provider (PCP) at discharge carries the potential for significant information loss. There is evidence that the timeliness and content of discharge communication are often unreliable during this handoff. Suboptimal transitions of care at discharge have been associated with adverse outcomes, and efficient solutions are required to transform the current state. Our specific aim was the achievement 90% documentation of hospitalist-PCP communication within 2 days of hospital discharge in <12 months. Methods: As part of a grassroots collaborative improvement organization, pediatric hospitalist groups engaged in parallel quality improvement projects to improve the timeliness and reliability of discharge communication at their local institutions. After an initial face-to-face meeting, e-mail and regular conference calls were used to promote shared effort and learning. The study period lasted 12 months, with >16 weeks of continuous data required for inclusion. Results: The mean rate of documentation of timely discharge communication across the collaborative increased from 57% to 85% over the study period. For the 7 hospitals that were able to collect >16 weeks of data before July 2010, the mean rate of communication was >90%. Participants reported that the context of the collaborative contributed to their success. Conclusions: Timely hospitalist-PCP communication was inconsistent at the beginning of the study. This low-resource quality improvement collaborative was able to achieve rapid improvement and resulted in improved perceptions of quality improvement knowledge among participants.

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Section: Discussionsupporting

confidence: 56%

Pediatric Hospitalists Collaborate to Improve Timeliness of Discharge Communication

Shen

Hershey

Bergert

et al. 2013

Hospital Pediatrics

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“…(8) Other studies assessing conformity in wristband identification in pediatric units demonstrate error rates of 9.2%, 17% and 20.4% in identification. (9)(10)(11) Comparing the results of this study to the indexes found in the other studies; the general conformity rates were considerably lower, especially in identifying newborns at the delivery room. These results are considered worrying, in view of the importance of these care practices and the repercussions of nonconformity on the safety and health of patients.…”

Section: Discussionsupporting

confidence: 44%

“…(14) The involvement of patients and families in the identification process as an active partner in the process of confirming their own data, or as a holder of information on the measures and protocols involving identification and institutional security, creates allies in the process who are able to collaborate with health professionals to define and implement shared care plans. (10,15) In the same way, they understand that patient/ user participation is one of the main points of safe care, and it was found that 91% of patients reported being able to collaborate to prevent errors that occur in hospitals; 84% felt comfortable asking the nurse to confirm the data on their wristbands. (16) Most patients (90.2%) agree to use the wristband identification during the hospital stay, even if these provide identifying codes of clinical conditions or risk.…”

Section: Discussionmentioning

confidence: 97%

Sistemas de identificação de pacientes em unidades obstétricas e a conformidade das pulseiras

Tase

Tronchin

2015

Acta paul. enferm.

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Objective: To evaluate the conformity of wristband identification of women in the obstetrics clinic and their newborns in the delivery room. Methods: A quantitative study with a sample of 800 opportunities, selected by probabilistic sampling. Data collection occurred using a form completed at the bedside. The chi-square test was used to compare the conformity between the units, and a 95% confidence interval was adopted. Results: The general compliance was 58.5% in the clinic, and 22.3% in the delivery room. Regarding the three-step protocol, the higher compliance in the clinic was related to the stage of identification of components (93.4%) and the lower, to the wristband conditions (70%); in the delivery room, the highest rates were also those steps, 69% and 44.5%, respectively. When comparing the units, the clinic produced better conformity levels with a statistically significant difference. Conclusion: The findings allowed for restructuring of the protocols and implementing them in the institution. ResumoObjetivo: Avaliar a conformidade das pulseiras de identificação de mulheres na clínica obstétrica e seus neonatos no centro obstétrico. Métodos: Estudo quantitativo, com casuística de 800 oportunidades, selecionadas por amostragem probabilística. A coleta de dados ocorreu mediante formulário preenchido à beira-leito. O teste Qui-quadrado foi utilizado para comparar as conformidades entre as unidades e adotado o intervalo de confiança de 95%. Resultados: A conformidade geral foi de 58,5% na Clínica e 22,3% no Centro Obstétrico. Quanto às três etapas do protocolo, a maior conformidade na Clínica correspondeu à etapa componentes de identificação (93,4%) e a menor, às condições da pulseira (70%); no Centro Obstétrico, os maiores índices também foram nessas etapas 69% e 44,5%, respectivamente. Na comparação entre as unidades, a Clínica obteve melhores índices conformidade, diferença estatisticamente significante. Conclusão: Os achados possibilitaram reestruturar os protocolos e implementá-los na Instituição.

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“…[28][29][30] This type of study would require active collaboration between participating centers committed to a common quality improvement protocol, and would need to be data driven with the objective of identifying effective therapies and emphasizing the clinical application of evidence-based interventions. [28][29][30] The infrastructure for such an effort already exists in the Congenital Diaphragmatic Hernia Study Group, a voluntary collaboration of international tertiary referral centers that provide data regarding patients with CDH to a central registry. 31 The Congenital Diaphragmatic Hernia Study Group data have yielded numerous high-quality observational studies addressing a variety of important issues in CDH management.…”

Section: E424mentioning

confidence: 99%