Implementation of a standardized handoff during transition of care from the ED to the ICU
View File(s)
- Author(s)
- Details
-
Melinda Abbring, RN
- Sigma Affiliation
- Zeta Epsilon
- Contributor Affiliation(s)
- Valparaiso University, Valparaiso, Indiana, USA
Visitor Statistics
Visits vs Downloads
Visitors - World Map
Top Visiting Countries
Country | Visits |
---|
Top Visiting Cities
City | Visits |
---|
Visits (last 6 months)
Downloads (last 6 months)
Popular Works for Abbring, Melinda by View
Title | Page Views |
---|
Popular Works for Abbring, Melinda by Download
Title | Downloads |
---|
View Citations
Citations
Session presented on Saturday, March 18, 2017:
Patient safety and communication are crucial to the nursing handoff. Emergency department (ED) patients transferring to the intensive care unit (ICU) have life-threatening impairments. Stabilization of critically ill patients may not occur until after the handoff has occurred. Often, vital patient information may be omitted. EDs can be chaotic with numerous distractions that adversely affect the nursing handoff. The Institute of Medicine published two groundbreaking patient safety publications highlighting handoffs: To Err is Human: Building a Safer Health System (1999) and Crossing the Quality Chasm (2004). In 2006, the Joint Commission recognized handoffs by adding transition of care with the National Patient Safety Goal 2E (2014). The purpose of this evidence-based practice project is to implement a standardized handoff from the ED to the ICU to improve nursing communication and patient safety. The review of literature supported implementation of a standardized handoff. Melnyk and Fineout-Overholt's (2001) hierarchy of evidence ranked 15 separate sources: Two level III, one level IV, five level V, four level VI, and three level VII. The Johns Hopkins Nursing Evidence-Based Practice Model and Guidelines revealed six high quality sources and nine good quality sources. The Stetler Model provided guidance and direction during implementation of this project. Rogers' Diffusion of Innovation was used to assess nurses' willingness to adopt the handoff intervention. A 205-bed, non-profit, Midwestern hospital was the setting for this intervention. The ED and ICU managers, the nurse educator, and the Chief Nursing Officer all understood and supported the proposal. Education of the standardized handoff occurred over a one week period during staff meetings and change of shift in the ED and ICU. A PowerPoint presentation was given and questions from nurses in both the ICU and ED were answered. At that time, a demographics form was completed as well as a pre-intervention questionnaire asking nurses about the current handoff practice. This handoff implementation continued for eight weeks. At the end of the implementation phase, ED and ICU nurses will complete a post-implementation questionnaire. Communication and patient safety will be compared from the two months prior to implementation of the standardized handoff to the two months during implementation using a paired t test. Descriptive statistics will compare pre-intervention and post-intervention questionnaires regarding nursing attitudes and communication on a Likert Scale along with completeness of the handoff items. The time patients spend in the ED waiting for an ICU bed prior to arrival to ICU and MIDAS risk reports will be audited and compared to the two months prior to implementation of a standardized handoff. It is anticipated that implementation of a standardized handoff will improve both nursing communication and patient safety. Learning Objectives: The learner will be able to name the six steps involved in the implementation of a standardized handoff from ED to ICU found in the review of literature and discuss their importance as related to nursing communication and patient safety. The learner will be able to name at least one of the three institutions that published findings highlighting the importance of nursing handoff as a safety measure. Publications from these three institutions preceded the implementation of this evidence-based practice project regarding ED to ICU handoff.
Creating Healthy Work Environments 2017: Best Practices in Clinical and Academic Settings. Held at the JW Marriott, Indianapolis, Indiana, USA
Items submitted to a conference/event were evaluated/peer-reviewed at the time of abstract submission to the event. No other peer-review was provided prior to submission to the Henderson Repository, unless otherwise noted.
Type | Poster |
Acquisition | Proxy-submission |
Review Type | None: Event Material, Invited Presentation |
Format | Text-based Document |
Evidence Level | N/A |
Research Approach | N/A |
Keywords | Nursing Handoff; Intensive Care Units; Emergency Department (ED) |
Name | Creating Healthy Work Environments 2017 |
Host | Sigma Theta Tau International |
Location | Indianapolis, Indiana, USA |
Date | 2017 |
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.
Related items
Showing items related by title, author, creator and subjects.
-
Electronic handoff process for ED boarders admitted to medical-surgical and telemetry units
Medina, KatherineThe telephonic hand off process utilized to transfer ED boarders with assigned beds was causing major delays. The time from bed assignment to admission on the inpatient medical-surgical and telemetry units was 2 hours on ... -
Certified registered nurse anesthetist to post-anesthesia care unit registered nurse handoff using a standardized screen
Hayde, LindseyThis was a quality improvement project that optimized an underutilized computerized handoff screen which then created an improved standardized handoff screen for Certified Registered Nurse Anesthetists and Post-Anesthesia ... -
Catch & release: Impact of a standard emergency department (ED) discharge process
Ridgeway, Gentry; Thompson, Tracy; Woltz, PatriciaInconsistent nursing practice for discharging patients was noted as shown by varying Professional Research Consultant (PRC) scores gathered by third party consultant group for discharge instructions. Research studies have ... -
Living a lie: The biographical disruption of intensive care unit (ICU) survivors
Ewens, Beverley (2017-07-17)Introduction: Millions of people across the world are admitted to intensive care units each year. This is expected to rise with increases in population and life expectancy. In tandem with this, the standard and capability ... -
Emergency department bedside handoff report for increased communication and patient experience: A quality improvement health program
Muller, MickeyBackground: With increased emphasis placed on patient experience scores within hospital emergency departments (ED), communication between clinicians and patients has been identified as an area for improvement. Described ...