J Korean Acad Nurs Adm.  2015 Jun;21(3):243-253. 10.11111/jkana.2015.21.3.243.

Practical Communication Strategies to Improve the Surgical Outcomes in a Pediatric Cardiac Intensive Care Unit

• Uhm JY
• Lee W

• KMID: 2321306
• DOI: http://doi.org/10.11111/jkana.2015.21.3.243

Abstract

PURPOSE
The purpose of this study was to identify the impact of practical communication strategies (PCS) on the reduction of AEs (Adverse Events) in pediatric cardiac ICU (PCICU).
METHODS
Intra-operative findings and care plans were documented and shared between staff members on a daily basis from the day of operation to the day of general ward transfer. Incidence of AEs was investigated in all patients who were admitted to the PCICU and was compared with incidence of AEs one year after establishment of PCS.
RESULTS
The study population consisted of 216 patients in pre-PCS group and 156 patients in post-PCS group. Incidence of readmission decreased from 6.0% (13/216) in pre-PCS group to 0.6% (1/156) in post-PCS group (chi2=7.23, p=.010). Incidence of other major complications decreased from 4.2% (9/216) to 0.6% (chi2=6.66, p=.012). Minor AEs such as intervention omission, order error, and protocol misunderstanding were reduced from 23.3 cases per 100 patient-days to 7.5 cases per 100 patient-days (chi2=20.31, p<.001).
CONCLUSION
Handover protocol is an effective strategy to reduce AEs for critically ill patients after pediatric cardiac surgery. Efforts to develop effective communication strategies should be continued and outcome research about communication strategies for patient safety should be further studied.

Keyword

Heart defects, Congenital; Intensive Care Units; Patient handoff; Outcome Assessment (Health Care)

MeSH Terms

Critical Illness
Heart Defects, Congenital
Humans
Incidence
Intensive Care Units*
Outcome Assessment (Health Care)
Patient Handoff
Patient Safety
Patients' Rooms
Thoracic Surgery

Figure

• 

  Figure 1 Postoperative handover sheet (A) and daily goal sheet (B) (final version).

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