Effect of interdisciplinary rounding with psychiatry on three quality metrics
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Melissa Connor, MPH, BSN, RN, CEN; Stacia N. Cullors, BSN, RN; Justin Kuester, BSN, RN; Kate Hurley, MSN, RN, MICN, CEN
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Poster presentation
Session A presented Monday, September 30, 10:00-11:00 am
Purpose: Inadequate understanding of the processes and plan of care for psychiatric patients by ED nurses was suspected to be related to prolonged length of stay and elevated incidences of acts of aggression in the Emergency Department. Including ED nurses in the psychiatric team's morning rounds was implemented to improve interdisciplinary communication with the goal to reduce length of stay and acts of aggression.
Design: This project was designed as an evidence-based quality improvement project.
Setting: This study was conducted at a teaching, urban level 1 trauma center with inpatient psychiatric services.
Participants/Subjects: All patients admitted or transferred from the Emergency Department for psychiatric care three months before the implementation of interdisciplinary rounding and three months after were included, allowing for a month-long lag period during implementation of the new process.
Methods: A retrospective review of electronic health record information was conducted to examine the length of stay and incidence of acts of aggression for boarding psychiatric patients. Acts of aggression was defined as placement of hard physical restraints or administration of intramuscular anti-psychotic or sedative medication with the goal of chemical restraint.
ED nurses participated in a survey prior to implementation measuring ease and adequacy of interdisciplinary communication and understanding of priorities to advance throughput for psychiatric patients.
Methods: A retrospective review of electronic health record information was conducted to examine the length of stay and incidence of acts of aggression for boarding psychiatric patients. Acts of aggression was defined as placement of hard physical restraints or administration of intramuscular anti-psychotic or sedative medication with the goal of chemical restraint. ED nurses participated in a survey prior to implementation measuring ease and adequacy of interdisciplinary communication and understanding of priorities to advance throughput for psychiatric patients.Results/Outcomes: Preliminary data shows a mean length of stay prior to intervention of 1,502 minutes and 52 acts of aggression. Post implementation data will be collected after March 31, 2019.
Implications: A decrease in the incidence of acts of aggression and/or lengths of stay is observed in the post-implementation period would support continued investment in efforts to improve communication between ED nurses and psychiatric team members utilizing interdisciplinary rounding.
Type | Poster |
Format | Text-based Document |
Evidence Level | N/A |
Research Approach | N/A |
Keywords | Psychiatric; Interdisciplinary; Emergency |
Name | Emergency Nursing 2019 |
Host | Emergency Nurses Association |
Location | Austin, Texas, USA |
Date | 2019 |
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