Improving Situation Awareness and Patient Outcomes Through Interdisciplinary Rounding and Structured Communication

被引:25
作者
Cornell, Paul [1 ]
Townsend-Gervis, Mary [2 ]
Vardaman, James M. [3 ]
Yates, Lauren [2 ]
机构
[1] Healthcare Practice Transformat, Dallas, TX USA
[2] Baptist Mem Healthcare, Desoto, MS USA
[3] Mississippi State Univ, Starkville, MS USA
来源
JOURNAL OF NURSING ADMINISTRATION | 2014年 / 44卷 / 03期
关键词
MULTIDISCIPLINARY ROUNDS; SBAR;
D O I
10.1097/NNA.0000000000000045
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
OBJECTIVE: To measure the impact of interdisciplinary rounds (IDRs) and the situation-background-assessment-recommendation (SBAR) communication protocol on staff situation awareness and patient outcomes. BACKGROUND: Communication frequency and consistency improve speed and clarity, especially between disciplines. Daily IDR using SBAR potentially facilitates the process. METHODS: Four patient review conditions were observed across 3 medical-surgical units of an acute care hospital: baseline, mobile (IDR only), paper-SBAR, and electronic-SBAR (IDR and SBAR). Observations occurred over a 9-month span. Review time (seconds), tools used, location, and field notes were recorded for 960 patient reviews. RESULTS: Patient review times were significantly shorter with IDR, decreasing from 102 to 69 seconds, but SBAR did not reduce times further. One patient satisfaction index did not change, whereas the other improved slightly. Length of stay did not change. CONCLUSION: The structure, consistency, and familiarity afforded by SBAR and IDR resulted in improved situation awareness and provided process, staff, and patient benefits.
引用
收藏
页码:164 / 169
页数:6
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