Use of a Bundle Checklist Combined With Physician Confirmation Reduces Risk of Nosocomial Complications and Death in Trauma Patients Compared to Documented Checklist Use Alone

Reiff, Donald A.; Shoultz, Thomas; Griffin, Russell; Taylor, Benjamin; Rue, Loring W.

doi:10.1097/sla.0000000000001456

Cited by 5 publications

(5 citation statements)

References 13 publications

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“…In the bedside ward rounds of critical patients, the checklist can be used to quickly identify the the focus of quality inspection [ 8 ]. Nine cohort studies [ 8 , 10 , 14 , 16 , 18 ] and two RCTs [ 15 , 17 ] were included in this study, and the results showed that the application of the bedside ward round checklist could reduce the incidence of unexpected adverse events in critical patients and play a positive role in improving the prognosis of critical patients, of which 2 cohort studies [ 11 , 13 ] revealed that the application of the bedside ward round checklist can reduce the incidence of DVT in critical patients, 1 RCT [ 16 ] and 5 cohort studies [ 8 , 9 , 11 , 16 , 17 ] showed that the bedside ward round checklist is conducive to reducing ICU hospitalization time, and 5 clinical studies [ 1 , 2 , 8 , 10 , 11 ]showed that ICU critically ill patients need to be treated with mechanical ventilation. Due to long-term hospitalization in ICU, the risk of infection will increase.…”

Section: Discussionmentioning

confidence: 99%

“…critical patients, of which 2 cohort studies [11,13] revealed that the application of the bedside ward round checklist can reduce the incidence of DVT in critical patients, 1 RCT [16] and 5 cohort studies [8,9,11,16,17] showed that the bedside ward round checklist is conducive to reducing ICU hospitalization time, and clinical studies [1,2,8,10,11]showed that ICU critically ill patients need to be treated with mechanical ventilation. Due to long-term hospitalization in ICU, the risk of infection will increase.…”

Section: Total Eventsmentioning

confidence: 99%

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Systematic Evaluation of the Effect of Bedside Ward Round Checklist on Clinical Outcomes of Critical Patients

Wen¹,

Wang

et al. 2021

Journal of Healthcare Engineering

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Objective. To systematically evaluate the effect of bedside ward round checklists on the clinical outcomes of critical patients and thus provide a scientific and rational basis for decision-making in its clinical application. Methods. PubMed, EMBASE, Web of Science, Cochrane Library, CNKI, and Wanfang databases were searched to collect the literature studies about randomized controlled trials (RCTs) and cohort studies involving the effect of bedside ward round checklists on the clinical outcomes of critical patients, and the retrieval time limit was from the establishment of the database to August 2019. After two researchers independently screened the literature studies, extracted the literature data, and evaluated the risk of bias in included studies, meta-analysis was carried out by using Stata 12.0 software. Results. Two RCTs and nine cohort studies were included in this study. The results of meta-analysis showed that compared with the ordinary bedside ward round, the application of checklist in bedside ward round could shorten the ICU hospitalization time (standardized mean difference (SMD) = – 0.37, 95% CI (– 0.78, 0.04), P ≤ 0.001) and mechanical ventilation time (SMD = – 0.24, 95% CI (– 0.44, −0.04), P = 0.037) and reduce the incidence of ventilator-associated pneumonia (VAP) (SMD = 0.61, 95% CI (0.38, 0.99), P = 0.057) in critical patients. However, there were no significant differences in central venous catheter (CVC) retention time and incidence and mortality of deep venous thrombosis (DVT) between ordinary ward round and bedside ward round checklist. Conclusion. The existing evidence shows that compared with the ordinary ward round, the application of bedside ward round checklists can shorten ICU hospitalization time and mechanical ventilation time and reduce VAP incidence and ICU mortality in critical patients. However, due to the limitations of the quality of the included studies, the above conclusions need to be verified with more high-quality studies.

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Section: Discussionmentioning

confidence: 99%

Section: Total Eventsmentioning

confidence: 99%

Systematic Evaluation of the Effect of Bedside Ward Round Checklist on Clinical Outcomes of Critical Patients

Wen¹,

Wang

et al. 2021

Journal of Healthcare Engineering

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“…• Mortality (n = 14, 16 %) (Barcellos and Chatkin, 2020;Barnes-Daly et al, 2017;Chen et al, 2021a;Collinsworth et al, 2020;De Bie et al, 2021;Lemkin et al, 2020;Liu et al, 2016;Loberg et al, 2022;Nahouraii et al, 2019;Pun et al, 2019;Reiff et al, 2015;Verholen et al, 2021;Wilson et al, 2009;Cavalcanti et al, 2016), • Health care acquired infection (n = 9, 10 %) (Chua et al, 2010 De Bie et al, 2021;Heim et al, 2019;Hsieh et al, 2019;Loberg et al, 2022;Nahouraii et al, 2019;Pun et al, 2019;Sutton et al, 2021;Weiss et al, 2011;Wilson et al, 2009), • Delirium occurrence and duration (n = 8, 9 % n = 10, 11 %) ( Barnes-Daly et al, 2017;Boehm et al, 2020;Jablonski et al, 2017;Kamdar et al, 2013;Lee et al, 2020;Ma et al, 2021;Pun et al, 2019;Smith and Grami, 2016;Sutton et al, 2021;Tonna et al, 2021).…”

Section: Primary or Main Outcomes And Measuresmentioning

confidence: 99%

Informing the standardising of care for prolonged stay patients in the intensive care unit: A scoping review of quality improvement tools

Allum

Apps²,

Pattison³

et al. 2022

Intensive and Critical Care Nursing

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“…Hospital systems have attempted to address these issues by applying standardised approaches to patient care. Bedside checklists have been used to achieve these goals and can encourage changes in patient management including, early removal of invasive devices, and the more appropriate ordering of diagnostic tests 1–3. Checklists can also improve nurse and physician understanding of the patient care plans,4 and their use has been accompanied by shorter lengths of hospital stay 4 5.…”

Section: Introductionmentioning

confidence: 99%

Prospective application of the interdisciplinary bedside rounding checklist ‘TEMP’ is associated with reduced infections and length of hospital stay

et al. 2022

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Protocols that enhance communication between nurses, physicians and patients have had a variable impact on the quality and safety of patient care. We combined standardised nursing and physician interdisciplinary bedside rounds with a mnemonic checklist to assure all key nursing care components were modified daily. The mnemonic TEMP allowed the rapid review of 11 elements. T stands for tubes assuring proper management of intravenous lines and foleys; E stands for eating, exercise, excretion and sleep encouraging a review of orders for diet, exercise, laxatives to assure regular bowel movements, and inquiry about sleep; M stands for monitoring reminding the team to review the need for telemetry and the frequency of vital sign monitoring as well as the need for daily blood tests; and P stands for pain and plans reminding the team to discuss pain medications and to review the management plan for the day with the patient and family. Faithful implementation eliminated central line-associated bloodstream infections and catheter-associated urinary tract infections and resulted in a statistically significant reduction in average hospital length of stay of 13.3 hours, one unit achieving a 23-hour reduction. Trends towards reduced 30-day readmissions (20% down to 10%–11%) were observed. One unit improved the percentage of patients who reported nurses and doctors always worked together as a team from a 56% baseline to 75%. However, the combining of both units failed to demonstrate statistically significant improvement. Psychologists well versed in implementing behavioural change were recruiting to improve adherence to our protocols. Following training physicians and nurses achieved adherence levels of over 70%. A high correlation (r2=0.69) between adherence and reductions in length of stay was observed emphasising the importance of rigorous training and monitoring of performance to bring about meaningful and reliable improvements in the efficiency and quality of patient care.

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Use of a Bundle Checklist Combined With Physician Confirmation Reduces Risk of Nosocomial Complications and Death in Trauma Patients Compared to Documented Checklist Use Alone

Cited by 5 publications

References 13 publications

Systematic Evaluation of the Effect of Bedside Ward Round Checklist on Clinical Outcomes of Critical Patients

Systematic Evaluation of the Effect of Bedside Ward Round Checklist on Clinical Outcomes of Critical Patients

Informing the standardising of care for prolonged stay patients in the intensive care unit: A scoping review of quality improvement tools

Prospective application of the interdisciplinary bedside rounding checklist ‘TEMP’ is associated with reduced infections and length of hospital stay

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