With Hand-off Communication

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Presentation transcript:

With Hand-off Communication In the With Hand-off Communication Noelia Echols, MSN, BS RN, CPN Karen Kimberling, MS HCA, BS RN, RNC-NIC

Objectives Describe steps toward identification of barriers to effective hand-off communication. Development of multi-area taskforce Identify stakeholders SWOT analysis Review of adverse event data Identify essential stages in creation of a framework for consistent hand-off communication. Data analysis for trends Process review of variances in each area Development culture of ownership of hand-off process Create educational strategy specific to each area

Objectives Identify strategies to enhance consistent hand-off communication outcomes. Safety culture Departmental ownership Transition standardized tool and process with a system-wide EHR On-going monitoring of events and quality data

Purpose The purpose of this clinical practice project was to implement a standardized process for hand-off communication to ensure safety and continuity of pediatric care.

Background Standards of Nursing Practice and Care: Effective communication identified as a key component Facilitate safe transitions and continuity of care Joint Commission: Standardized communication process can help to reduce adverse events

Background In 2014: Hand-off communication in care areas was multi-directional Nursing Strategic Plan for Safety and Communication set forth plans to implement standardization for hand-off between patient care areas

First Lap: Finding barriers to hand-off Developed a multi-area taskforce Identified stakeholders Conducted SWOT analysis Reviewed adverse event data http://www.discountdirectionals.com/wp-content/uploads/2014/06/JB33-RollOver.jpg

Pacing Laps: Creating a framework for consistent hand-off Data analysis for trends Process review of variances in each area Develop culture of ownership of hand-off process Create educational strategy specific to each area https://kbetcher.com/images/sprint%20cup/IMG_0856.JPG

Final Lap: Strategies to enhance consistent hand-off communication outcomes Safety culture Departmental ownership Transition standardized tool and process with a system-wide EHR On-going monitoring of events and quality data http://i1.ytimg.com/vi/h2935lVdNEg/hqdefault.jpg

References Joint Commission Center for Transforming Healthcare (2014). Improving transitions of care: hand-off communications. Retrieved July 13, 2017, from http://www.centerfortransforminghealthcare.org/search/?Keywords=improving transitions of care&f=sitename&sitename=The Center for Transforming Healthcare. American Nurses Association (2015). Nursing Scope and Standards of Practice (3RD ed.). Silver Spring, MD: American Nurses Association Bigham, M., Logsdon, T., Manicone, P., Landrigan, C., Hayes, L., Randall, K., Sharek, P. (2014). Decreasing handoff-related care failures in children's hospitals. Pediatrics, 134(2), E1-E8. American Academy of Pediatrics. Retrieved July 12, 2014, from pediatrics.aappublications.org Leighton, N. L. (2016). Promoting patient safety with perioperative hand-off communication. Journal of PeriAnesthesia Nurses, 31(3), 245-253. Retrieved July 13, 2017, from dx.doi.org/10.1016/j.jopan.2014.08.144.

Questions? Thank you!