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Implementation of a pediatric behavioral staffing algorithm in an acute hospital: a best practice implementation
11University of California San Francisco (UCSF) Medical Center and UCSF Benioff Children's Hospital, San Francisco, United States 2UCSF Centre for Evidence Synthesis and Implementation: a Joanna Briggs Institute Centre of Excellence.
A new algorithm and psychiatric huddle improved care for pediatric behavioral patients on medical units. This standardized process enhanced safety and quality, with promising early results for sustained improvements in care delivery.
Area of Science:
- Healthcare management
- Pediatric nursing
- Clinical informatics
Background:
- Decreased psychiatric beds lead to more pediatric behavioral patients in acute care.
- Medical-surgical nurses report inadequate preparedness for pediatric behavioral health care needs.
Purpose of the Study:
- Enhance care continuity and safety for pediatric patients in acute and transitional units.
- Implement a resource allocation algorithm for staffing behavioral health admissions.
- Standardize the use of interdisciplinary psychiatric huddles.
Main Methods:
- Utilized Joanna Briggs Institute's PACES and GRiP audit tools for practice change.
- Conducted baseline and follow-up medical record audits to measure compliance.
- Provided charge nurse education on the resource allocation algorithm and psychiatric huddles.
Main Results:
- Achieved 100% compliance in comprehensive assessment of pediatric behavioral patients.
- Nurses demonstrated 100% compliance in initiating psychiatric huddles.
- Individualized care plans, including family involvement, showed full compliance.
Conclusions:
- A resource allocation algorithm improved the quality and safety of care for pediatric behavioral patients.
- Standardized processes empowered acute care nurses to manage behavioral health needs effectively.
- Early indicators suggest sustained improvements, with plans for wider adoption.
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