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Developing a ward round checklist to improve patient safety.

Gordon Hale1, Duncan McNab1

  • 1NHS Lanarkshire, UK.

BMJ Quality Improvement Reports
|January 7, 2016
PubMed
Summary

Implementing a ward round checklist significantly improved patient safety documentation on a UK hospital ward. This quality improvement initiative enhanced compliance from 45% to 89%.

Area of Science:

  • Healthcare Quality Improvement
  • Patient Safety Research
  • Clinical Process Optimization

Background:

  • Checklists are proven to enhance patient care and reduce adverse outcomes in healthcare.
  • Safety-critical industries demonstrate the efficacy of checklists, supporting their medical application.
  • Daily in-patient medical ward rounds are complex, posing potential patient safety risks.

Purpose of the Study:

  • To evaluate the effectiveness of a ward round review checklist.
  • To assess the impact of a checklist on patient safety outcome measure documentation.
  • To implement and refine a ward round checklist within a UK district general hospital.

Main Methods:

  • A baseline audit of case notes was conducted for pre-defined patient safety outcome measures.

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  • Compliance with documentation was assessed before and after checklist implementation.
  • A nine-month quality improvement project utilized Plan-Do-Study-Act (PDSA) cycles for checklist development.

    • Main Results:

    • Overall compliance with documentation of patient safety outcome measures increased substantially.
    • Compliance improved from a baseline of 45% to 89% after checklist introduction.
    • The quality improvement project successfully introduced and developed a functional ward round checklist.

    Conclusions:

    • A ward round checklist intervention significantly improved the documentation of patient safety outcome measures.
    • Sustaining improvements in ward round practice requires strong teamwork and leadership.
    • Clinician commitment to patient safety is crucial for the long-term success of such initiatives.