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Improved perception of communication and compliance with a revised, intensive care unit-specific bedside

Linda Aponte-Patel1, Anita Sen2

  • 1Pediatric Critical Care Medicine, Department of Pediatrics, Morgan Stanley Children's Hospital, Columbia University Medical Center, Columbia University College of Physicians and Surgeons, New York, NY la2423@columbia.edu.

American Journal of Medical Quality : the Official Journal of the American College of Medical Quality
|July 13, 2014
PubMed

Insights

A tailored bedside communication sheet (BCS) improved communication and completion rates in pediatric intensive care units (PICUs). This site-specific approach enhanced daily goal highlighting and staff collaboration.

Area of Science:

  • Pediatric Intensive Care
  • Healthcare Communication
  • Quality Improvement

Background:

  • Pediatric intensive care units (PICUs) commonly use bedside communication sheets (BCSs) to convey daily goals.
  • The optimal format for BCSs to enhance communication and compliance remains undetermined.
  • Site-specific BCSs may offer a solution for improving PICU communication.

Purpose of the Study:

  • To assess the impact of a revised, site-specific bedside communication sheet (BCS) on communication and compliance within a pediatric intensive care unit (PICU).
  • To gather PICU staff recommendations for improving and revising an existing BCS.
  • To evaluate staff perceptions of communication effectiveness and BCS completion rates post-revision.

Main Methods:

  • A written survey was administered to PICU staff at an academic children's hospital to collect recommendations for BCS revision.
  • Pre- and post-revision surveys assessed PICU staff perceptions of communication and BCS effectiveness.
  • Daily compliance rates for completing the BCS were monitored before and after implementation of the revised BCS.

Main Results:

  • Following the implementation of the revised BCS, staff reporting "excellent" or "very good" day-to-day communication increased from 57% to 77% (P = .02).
  • Compliance with completing the BCS significantly increased from 75% to 83% (P = .03).
  • The revised BCS was perceived as more effective by PICU staff.

Conclusions:

  • A focused and concise BCS tailored to a specific PICU setting can enhance staff perceptions of communication.
  • Implementing a site-specific BCS leads to increased compliance in daily BCS completion.
  • Optimizing BCS format is crucial for improving communication and operational efficiency in PICUs.

Keywords:
communicationdaily goals sheetintensive care unitpatient care planningpediatrics

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