Structured Documentation of Home Ventilator Settings in Children: A Quality Improvement Project.

Journal Article (Journal Article)


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.


This 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.


Nurses' 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.


Structured admission charting of LTMV settings should be continued and yielded improvements in pulmonary unit nurses' perceptions of communication, patient safety, and documentation compliance.

Full Text

Duke Authors

Cited Authors

  • Joyner, MK; Afolabi, FC; Payne, TL; Hueckel, RM

Published Date

  • January 2017

Published In

Volume / Issue

  • 31 / 1

Start / End Page

  • 111 - 121

PubMed ID

  • 27321678

Electronic International Standard Serial Number (EISSN)

  • 1532-656X

International Standard Serial Number (ISSN)

  • 0891-5245

Digital Object Identifier (DOI)

  • 10.1016/j.pedhc.2016.05.005


  • eng