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Identity cards help patients identify their doctors
Liana Zucco1, Gabrielle Desmond1, Bernadette Carpenter1
1St. George's Hospital NHS Trust.
Insights
Hospital patient identification cards significantly improved recall of medical team names. This simple intervention enhanced patient understanding and satisfaction during hospital stays.
Area of Science:
- Medical Education
- Patient Communication
- Healthcare Quality Improvement
Background:
- Hospitalized patients receive extensive information, often struggling to retain key details about their care team.
- Initial audits revealed low patient recall of medical staff names, impacting communication and satisfaction.
Purpose of the Study:
- To assess the effectiveness of identification (ID) cards in improving patient recall of their treating team members.
- To evaluate the impact of ID cards on patient retention of this information over time.
Main Methods:
- Implementation of identification cards detailing patient treatment teams.
- Pilot testing through Plan-Do-Study-Act (PDSA) cycles on medical and surgical wards.
- Pre- and post-intervention patient recall assessments.
Main Results:
- Patient recall of at least one treating team member increased from 33% to 67% post-intervention on a medical ward.
- Recall retention at 5 days improved significantly, with 67% of patients remembering a team member's name.
- Surgical ward results showed consultant recall improved from 54% to 87% after ID card implementation.
Conclusions:
- Identification cards are a simple, effective tool to enhance patient recall and retention of medical team information.
- This intervention improves patient-physician communication, satisfaction, and overall quality of care.
- ID cards are easily implementable and have received hospital patient safety committee approval for wider trust-wide adoption.
Abstract:
Patients admitted to hospital are immediately overloaded with information from staff in A&E, to subsequent acute medical and inpatient wards. Essential details are conveyed to patients at each step, including diagnosis, management and identification of various team members involved in their care. An initial audit within our South London hospital revealed only one third of patients admitted onto a single medical ward could recall the name of a single member of their treating team, and less than 10% retained that information over 5 days. Identification (ID) cards were devised to facilitate clear transfer of information detailing the patient's treating team. These ID cards were piloted through a series of PDSA cycles on one inpatient medical ward following a consultant led ward round. Post intervention, 67% managed to recall a single member of the treating team, with 67% retaining this information 5 days later, a dramatic improvement. ID cards were then trialed on one surgical ward, demonstrating equally impressive results with over 87% of patients recalling their named consultant following ID card implementation, up from 54% initially. Similar trends were demonstrated for recalling other treating team members. This simple measure improved patients ability to recall and retain names of a least a single member of their treating team, encouraged communication between patients and medical team and ultimately improved patient satisfaction and quality of care. ID cards were quick and easy to implement and have been approved by the hospital patient safety committee to implement throughout the Trust.
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