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Care coordination of the pediatric intensive care unit
Thesis   Open access

Care coordination of the pediatric intensive care unit

Katheryn Stirk
Master of Science (M.S.), Drexel University
Jun 2024
DOI:
https://doi.org/10.17918/00002046
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Abstract

Care coordination Pediatric intensive care unit Multidisciplinary rounds Rounding checklist
Lack of standardization of multidisciplinary rounds can cause ambiguous threats to the care provided to a patient, especially a critically ill pediatric patient that care needs to be individualized and complex. Implementation of a rounding checklist is one tool that can improve care coordination and communication between the care team taking care of the pediatric patient. This quality improvement project collects pre and post implementation data to analyze the effectiveness of a standardized checklist for multidisciplinary rounds in a Pediatric ICU. The metrics followed were patient safety reports and staff survey results. The focus group conducted a PDSA halfway through the implementation phase. The results showed that implementing a rounding checklist did not provide the desired outcome. Even though the results were not in favor of the projected outcome, the rounding checklist was a good starting point in standardizing Multidisciplinary rounds and bringing awareness to all stakeholders of the communication gap between the care team and ignite discussions for further improvements. Implementing a standardized way of conducting Multidisciplinary rounds in the Pediatric ICU did not decrease the risk of adverse patient safety events or increase staff's perception of care coordination. Further discussions and modifications need to be conducted moving forward. Keywords: Pediatric ICU, Multidisciplinary Rounds, Rounding Checklist

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