Using Performance Management to Implement a Preprocedural Checklist for Gastrointestinal Endoscopy Procedures.
Gastroenterol Nurs
; 42(1): 79-83, 2019.
Article
em En
| MEDLINE
| ID: mdl-30585912
ABSTRACT
Providing safe patient care is an important focus of healthcare organizations. In surgical settings, mortality rates have been shown to decrease from 1.5% to 0.8% and complication rates from 11% to 7% when institutions use the World Health Organization's Surgical Safety Checklist. In our hospital-based gastrointestinal endoscopy unit, we recognized that inconsistencies in the preprocedural readiness of patients were causing inefficiencies in scheduling. Therefore, we initiated a quality improvement project to determine whether a preprocedural checklist and positive reinforcement for the nurses in the units could improve endoscopy preparation of patients. The checklist was used to prepare patients and to facilitate nurse-to-nurse communications. We completed a 6-week pilot study (preintervention and postintervention). The results demonstrated the importance of having nurses use a checklist in hospital care units to adequately prepare patients and to accurately communicate patient readiness before gastrointestinal endoscopy procedures. Nursing leadership used positive reinforcement as a strategy to encourage the use of the preprocedural checklist. A postpilot survey of nurses involved in the study show that the preprocedural checklist enhanced care and communication between the patient care units and resulted in direct and indirect benefits for nurses and patients.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Endoscopia Gastrointestinal
/
Comunicação
/
Lista de Checagem
/
Melhoria de Qualidade
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Equipe de Enfermagem
Limite:
Humans
Idioma:
En
Revista:
Gastroenterol Nurs
Assunto da revista:
ENFERMAGEM
/
GASTROENTEROLOGIA
Ano de publicação:
2019
Tipo de documento:
Article