The implementation of a designated alert team to improve patient safety and nursing staff perceptions of patient safety
Ann Horigan, PhD, RN; Madyson Adams, BSN, RN; Raquel Gil-Trani, BLS, ACLS, TNCC, ATNC; Cynthia Schulter, BSN, RN; Gina O. Mappes, RN; Amy Kattner, RN, CEN; Brandy Kessler, Rn-BSN
- Sigma Affiliation
Visits vs Downloads
Visitors - World Map
Top Visiting Countries
Top Visiting Cities
Visits (last 6 months)
Downloads (last 6 months)
Popular Works for Horigan, Ann E. by View
Popular Works for Horigan, Ann E. by Download
Session E presented Tuesday, October 1, 10:00-11:00 am
Purpose: This performance improvement project was designed to improve patient safety and nursing staff perception of patient safety by implementing a designated alert team rotation to care for trauma, stroke and critically ill patients upon arrival to the ED. Prior to this, certain room assignments within the department included responsibilities on alert teams. Nurses working in these rooms were taken from their patient assignment to care for alert patients, while their existing patients were assumed to be cared for by other nurses in the area. The creation of a designated alert team rotation comprised of nurses who did not have other patient responsibilities improved patient safety as patients were not assumed to be cared for by other nurses with their own patient load and improved nursing staff perception of patient safety.
Design: The Plan-Do-Study-Act (PDSA) model was used to guide this project. A pre/post survey was used to identify success of the intervention.
Setting: Tertiary care urban medical center with 633 inpatient beds. The emergency department is a Level II trauma center with 140,000 annual visits. Approximately 300 registered nurses and technicians are employed in the department.
Participants/Subjects: All registered nurses and technicians employed in the department were eligible to participate in the pre/post implementation surveys. Participation was voluntary and anonymous. No IRB approval was needed.
Methods: The current staffing model was revised in order to release nurses from a patient assignment and allow them to care for medical alert patients. It was recognized that to commit to this model, additional department staff was needed. This was supported by department leadership. A 24 question survey, developed by a small group of staff nurses involved in the process change, was designed to garner staff feedback on current and future medical alert processes. It was emailed to all nurses and technicians on staff prior to the implementation of the designated alert team role and 8 weeks after the implementation of the designated alert team. Descriptive statistics and 2 tailed-t tests were used to analyze data.
Results/Outcomes: Implementation of a designated alert team impacted staff perceptions of patient safety. Prior to the intervention, few staff felt the alert process was safe (9%); 8% felt the process allowed them to provide quality care; and 12% felt not enough resources were available to care for patients they left behind while caring for medical alert patients. After the implementation of a designated alert team, 71% felt the process was safe, 69% felt it allowed them to provide quality care, and 38% felt there were enough resources were available to care for patients. This practice change had a statistically significant effect on nursing staff perceptions of patient safety (p=0.02).
Implications: The need for creativity in staffing solutions to improve patient care and safety will increase as use of emergency services increases. Staff nurses are an excellent source of information about existing processes and implementation of change. Involving staff nurses in change processes within the department creates a collaborative environment which can have a great impact on patient safety and nursing staff perceptions.
|Keywords||Designated Alert Team;
All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.
All permission requests should be directed accordingly and not to the Sigma Repository.
All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.
Showing items related by title, author, creator and subjects.
Amann, Carol Ann; O'Toole-Baker, Valerie (2018-03-23)For years health professional education, inclusive of nursing, has occurred in silos throughout their program of study. This approach is no longer applicable to current workforce expectations. Participants will learn the ...
Booker, Catriona Anne; Douglas, Clint; Osborne, Sonya R.; Fox, Robyn L.; Richter, Kathleen Patrica; Collier, Thea-Grace (2016-03-17)Session presented on Saturday, July 25, 2015: Purpose: Timely recognition and appropriate response to clinical deterioration has been at the forefront of international safety and quality agendas. Rapid response systems ...
Sessions, Laura C.; Nemeth, Lynne S.; Kelechi, Teresa; Catchpole, KennethHigh-alert medication (HAM) error incidence ranges from 14-28%. In this qualitative descriptive study, nurses were interviewed about HAM practices. Three themes contributed to HAM safety: Culture of Safety, Collaboration, ...
Using skilled nurse communication to curb patient aggression: Findings from a quality improvement project Christensen, Scott S.; Adams, Laura; Wilson, Barbara L.With aggressive patient encounters becoming more common in non-mental health settings, one large academic medical center created a safer patient care environment by implementing a Behavioral Emergency Response Team (BERT) ...
Improving health outcomes for surgical patient in Nicaragua: Empowering nurses participating in a multidisciplinary cleft lip and palate team implementing evidence-based practice solutions Pfaff, Teresa A.; Perez, Maria Julia; Terry, Anina; Gomez, Carmen Maria Urruita (2014-11-17)Session presented in Saturday, July 26, 2014: In Nicaragua, the increase in those suffering from the congenital malformation of cleft lip and palate has bee seen across a diverse range of socio-economic levels. Although ...