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

Journal Article (Journal Article)

Introduction

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.

Method

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.

Results

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.

Discussion

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

Language

  • eng