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Improving the Patient Experience: Call Light Intervention Bundle
Jacqueline J Nelson1, Beth A Staffileno2
1University of Iowa Hospitals and Clinics, Iowa City, IA, USA.
Insights
Improving pediatric patient experience through timely call light response is crucial. A quality improvement project demonstrated that staff education and workflow changes enhanced patient satisfaction with promptness to call lights.
Area of Science:
- Pediatric Nursing
- Patient Safety
- Quality Improvement
Background:
- Delays in call light response pose risks to patient quality and safety.
- Existing research on call light interventions primarily focuses on adult inpatients.
- Timely response to patient needs is essential for a positive healthcare experience.
Purpose of the Study:
- To evaluate the impact of staff awareness and workflow redesign on pediatric patient experience.
- To assess the effectiveness of a call light intervention bundle in a pediatric medical-surgical setting.
- To improve patient outcomes related to timely call light response in pediatric care.
Main Methods:
- A quality improvement project was implemented on two pediatric medical-surgical units.
- An evidence-based call light intervention bundle included patient experience committees, purposeful rounding, pod buddy assignments, and staff education.
- Data collected pre- and post-intervention included staff knowledge, patient satisfaction, and fall rates.
Main Results:
- Both units showed improved staff knowledge regarding call light interventions.
- Patient satisfaction scores for promptness to call lights significantly improved post-intervention.
- While overall patient satisfaction and likelihood to recommend improved on one unit, call light interventions did not affect fall rates.
Conclusions:
- A call light intervention bundle can enhance patient satisfaction with promptness to call lights in pediatric medical-surgical settings.
- Unlike in adult populations, this intervention did not demonstrate an impact on fall rates in pediatric patients.
- Further research is necessary to identify effective fall reduction strategies specifically for children.
Purpose:
Delays in call light response are a significant patient quality and safety concern. Research on call light interventions and patient outcomes has focused exclusively on adult inpatients. This project examined the impact of increasing staff awareness and workflow redesign to improve the pediatric patient experience and outcomes based on timely response.
Design And Methods:
A quality improvement project was conducted on two pediatric medical surgical units' (31 and 35 beds respectively) at a large Midwest academic medical center with patients' ages from to young adults. Data on staff knowledge, patient satisfaction, and fall rates was examined pre- and post-intervention of an evidence-based call light intervention bundle which included: 1) unit-based patient experience committees, 2) purposeful rounding, 3) pod buddy assignments, and 4) staff education.
Results:
Post-intervention both units demonstrated improvement in staff knowledge on call light interventions and exhibited sustained improvement in patient satisfaction scores for promptness to call. Likelihood to recommend the hospital and satisfaction with pain control improved for one of the two units. No impact on fall rates was noted over time for either unit.
Conclusions:
A call light intervention bundle can positively impact patient satisfaction with promptness to call lights in pediatric medical surgical hospitalized patients and their families. Unlike adult patients, a call light intervention bundle did not impact fall rates in children and further study in pediatric fall reduction strategies is needed.
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