Files and links (1)
Published, Version of Record (VoR)CC BY-NC V4.0, Open
Journal article
Improving the neonatal team handoff process in a level IV NICU: reducing interruptions and handoff duration
BMJ open quality, v 10(1), pe001014
20 Jan 2021
PMID: 33472852
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
BackgroundNeonatal intensive care unit (NICU) patients are at increased risk for handoff communication failures due to complexity and prolonged length of stay. We report a quality initiative aimed at reducing avoidable interruptions during neonatal handoffs while monitoring handoff duration and provider satisfaction.MethodsObservational time series between August 2015 and March 2018 in an academic level IV NICU. NICU I-PASS and process changes were implemented using plan–do–study–act cycle, and statistical process control charts were used in the analysis. Unmatched preintervention and postintervention satisfaction surveys were compared using Mann-Whitney U tests.ResultsThere was special cause variation in the mean number of avoidable interruptions per handoff from 4 to 0.3 (92% reduction). The mean duration of handoff was reduced ~1 min/patient. Provider satisfaction with the quality of handoffs also improved from a mean of 3.36 to 3.75 on a 1–5 Likert scale (p=0.049).ConclusionsStandardisation of NICU handoff with NICU I-PASS and process changes led to the sustained reduction in avoidable interruptions with the added benefit of reduced handoff length and improved provider satisfaction.
Metrics
Details
- Title
- Improving the neonatal team handoff process in a level IV NICU: reducing interruptions and handoff duration
- Creators
- Vilmaris Quinones Cardona - ,Alison LaBadie - Drexel UniversityDavid B Cooperberg - St. Christopher's Hospital for ChildrenAlan Zubrow - Drexel UniversitySuzanne M Touch - Drexel University
- Publication Details
- BMJ open quality, v 10(1), pe001014
- Publisher
- British Medical Journal (BMJ)
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Pediatrics
- Web of Science ID
- WOS:000674241700013
- Scopus ID
- 2-s2.0-85100017971
- Other Identifier
- 991019168696704721
UN Sustainable Development Goals (SDGs)
This publication has contributed to the advancement of the following goals:
InCites Highlights
Data related to this publication, from InCites Benchmarking & Analytics tool:
- Web of Science research areas
- Health Care Sciences & Services