A PICU patient safety checklist: rate of utilization and impact on patient care.
Int J Qual Health Care
; 28(3): 371-5, 2016 Jun.
Article
en En
| MEDLINE
| ID: mdl-27090399
ABSTRACT
OBJECTIVE:
In healthcare, checklists help to ensure patients receive evidence-based, safe care. Since 2007, we have used a bedside checklist in our PICU to facilitate daily discussion of care-related questions at each bedside. The primary objective of this study was to assess compliance with checklist use and to assess how often individual checklist elements affected patient management. A secondary objective was to determine whether patient and unit factors (severity of illness, unit census, weekday vs. weekend, admitting diagnosis group) influenced checklist use.DESIGN:
This was a prospective observational study. A research assistant attended daily bedside rounds to collect data at each eligible patient encounter.SETTING:
The study was conducted in the Children's Hospital of Eastern Ontario (CHEO) PICU, a 12-bed cardiac and medical-surgical unit.PARTICIPANTS:
Included all patients admitted to the PICU prior to 6 am and who were not being discharged that day. INTERVENTION A bedside rounds checklist. MAIN OUTCOMEMEASURES:
Included compliance and whether the checklist affected the patient's management plan.RESULTS:
A total of 148 encounters were collected on 28 days between September 2013 and February 2014. Compliance with the checklist was 89.2% (132/148; 95% CI 83.2-93.2%) and was not influenced by admitting diagnosis group, patient census, severity of patient's conditions or weekday/weekend status. The checklist affected the patient management plan 52.6% of the time (69/132; 95% CI 44.2-61%).CONCLUSIONS:
Our study found high rates of compliance with an established checklist that has been in use in the PICU since 2007. Checklist use frequently resulted in a change in the patient management plan.Palabras clave
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Unidades de Cuidado Intensivo Pediátrico
/
Adhesión a Directriz
/
Lista de Verificación
/
Seguridad del Paciente
Tipo de estudio:
Guideline
/
Observational_studies
/
Prognostic_studies
Límite:
Humans
País/Región como asunto:
America do norte
Idioma:
En
Revista:
Int J Qual Health Care
Asunto de la revista:
SERVICOS DE SAUDE
Año:
2016
Tipo del documento:
Article
País de afiliación:
Canadá