Development of a Quality Indicator to Measure Urgent Requests to the Bedside.
Nurs Womens Health
; 24(6): 404-412, 2020 Dec.
Article
en En
| MEDLINE
| ID: mdl-33166492
ABSTRACT
OBJECTIVE:
To develop a quality indicator describing the response time to an urgent request for a physician to the bedside of a pregnant or postpartum woman and to identify opportunities for improvement in care timeliness for women with worsening serious clinical conditions.DESIGN:
Evidence-based quality improvement project using the Iowa Model-Revised framework to develop a maternal care quality indicator.SETTING:
Labor and delivery, antepartum, and mother/baby units in a large urban safety-net hospital preparing for a state level of maternal care designation survey.PARTICIPANTS:
All nurses and physicians caring for hospitalized pregnant and postpartum women participated in implementation. INTERVENTION/MEASUREMENTS Physician response time was measured as the elapsed time from a nurse's urgent request for a physician and the presence of a physician at the bedside of a woman in one of the identified units, as recorded in the electronic health record.RESULTS:
Physician response time to an urgent request to the bedside was documented 179 times during the first 3 months after implementation. Physician presence at the bedside within 30 minutes of a request was recorded in more than 99% of these events.CONCLUSION:
Physicians' responses to early warning signs within our facility were timely and within the parameters established by the Texas state-mandated criteria for a Level IV maternal care hospital. Response time as documented in the electronic health record provides an important quality indicator of maternal care in the inpatient setting.Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Contexto en salud:
1_ASSA2030
/
5_ODS3_mortalidade_materna
Problema de salud:
1_sistemas_informacao_saude
/
5_maternal_care
Asunto principal:
Hospitales Urbanos
/
Indicadores de Calidad de la Atención de Salud
/
Servicios de Salud Materna
Tipo de estudio:
Prognostic_studies
Límite:
Female
/
Humans
/
Pregnancy
País/Región como asunto:
America do norte
Idioma:
En
Revista:
Nurs Womens Health
Asunto de la revista:
ENFERMAGEM
/
OBSTETRICIA
/
PERINATOLOGIA
/
SAUDE DA MULHER
Año:
2020
Tipo del documento:
Article