Structured Documentation of Home Ventilator Settings in Children: A Quality Improvement Project
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- 作者：Michelle K. Joyner ; DNP ; APRN ; CPNP-AC/PC ; michelle.king@childrens.comAuthor Vitae ; Folashade C. Afolabi ; MD ; FAAPAuthor Vitae ; Tessa L. Payne ; DNP ; APRN ; CPNP-AC/PCAuthor Vitae ; Ré ; mi M. Hueckel ; DNP ; APRN ; CPNP-AC ; FNP-BC ; FAANPAuthor Vitae
- 关键词：Ventilator ; structured documentation ; communication ; safety ; quality improvement
- 刊名：Journal of Pediatric Health Care
- 出版年：2017
- 出版时间：January-February 2017
- 年：2017
- 卷：31
- 期：1
- 页码：111-121
- 全文大小：588 K
- 卷排序：31
文摘
In children requiring long-term mechanical ventilation (LTMV), insufficient admission charting can lead to adverse events. Our purpose in this study was to create and evaluate a structured documentation tool of home LTMV settings to improve communication, documentation, and patient safety.MethodThis study used a pretest–posttest survey of pulmonary unit nurses' satisfaction with the tool and perceptions of patient safety, chart reviews of documentation compliance, and reports of education session attendance. Mann-Whitney U and Fisher exact tests, category analyses, and descriptive statistics were applied.ResultsNurses' reports of positive communication of LTMV settings increased from 54.5% to 100% (p = .002), overall satisfaction with associated documentation increased (p < .001), and witnessed related adverse events decreased from 50% to 18.75%. Nurse compliance for education attendance and documentation was 97.4% and 97.3%, respectively.DiscussionStructured admission charting of LTMV settings should be continued and yielded improvements in pulmonary unit nurses' perceptions of communication, patient safety, and documentation compliance.