Journal article
Cohorting Trauma Patients in a Medical/Surgical Unit at a Level I Pediatric Trauma Center to Enhance Interdisciplinary Collaboration and Documentation
Journal of trauma nursing, v 26(1), pp 17-25
01 Jan 2019
PMID: 30624378
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Medical errors are a significant issue in health care that may be avoided through enhanced communication and documentation. This study examines interdisciplinary communication and compliance with trauma standards of care demonstrated through following the implementation of cohorting trauma patients to one medical/surgical unit and instituting daily interdisciplinary trauma patient rounds. Potential benefits include enhanced communication, improved nursing satisfaction, and increased compliance with trauma standards of care demonstrated through documentation, which the literature suggests improves quality of care. Pre- and postcohorting surveys related to safety attitudes, comfort with caring for trauma patients, and the efficacy of cohorting were administered to the nursing staff. As a marker for increased compliance with trauma standards of care, medical records were reviewed for completion of substance abuse screening upon admission and Functional Independence Measure screening at discharge. The results were compared after the cohorting initiative with 2 years prior. The rate of compliance with substance abuse screening increased from an average of 62.5% in 2015 and 2016 to 84% in 2017. Functional Independence Measure compliance increased from an average of 72.5% in 2015 and 2016 to 94% in 2017 following the cohorting intervention. Nursing perceptions of teamwork, safety climate, and staff support significantly improved (p < .05) from pre- to postcohorting surveys. Improvements were noted in comfort with performing tasks associated with caring for trauma patients but were not statistically significant. Cohorting trauma patients to one medical/surgical unit resulted in positive perceptions of professional relationships, improved communication, and compliance with trauma standards of care for documentation.
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Details
- Title
- Cohorting Trauma Patients in a Medical/Surgical Unit at a Level I Pediatric Trauma Center to Enhance Interdisciplinary Collaboration and Documentation
- Creators
- Loreen K. Meyer - St. Christopher's Hospital for ChildrenAutumn D. Nanassy - Drexel UniversityHeather Lavella - St Christophers Hosp Children, 160 E Erie Ave, Philadelphia, PA 19134 USAL. Grier Arthur - St Christophers Hosp Children, 160 E Erie Ave, Philadelphia, PA 19134 USAHarsh Grewal - St Christophers Hosp Children, 160 E Erie Ave, Philadelphia, PA 19134 USA
- Publication Details
- Journal of trauma nursing, v 26(1), pp 17-25
- Publisher
- Lippincott Williams & Wilkins
- Number of pages
- 9
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Accelerated Career Entry Bachelor of Science in Nursing (BSN); Pediatrics
- Web of Science ID
- WOS:000457569100004
- Scopus ID
- 2-s2.0-85059795105
- Other Identifier
- 991019169585704721
UN Sustainable Development Goals (SDGs)
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InCites Highlights
Data related to this publication, from InCites Benchmarking & Analytics tool:
- Web of Science research areas
- Critical Care Medicine
- Nursing