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Kamishibai Cards: A Conversation About Patient Safety
1Nursing Innovation, Prisma Health, Columbia, South Carolina.
Insights
Revamped Kamishibai (K) cards improved nurse engagement and compliance. This quality improvement initiative led to reduced device usage days, enhancing patient care.
Area of Science:
- Healthcare Quality Improvement
- Nursing Practice
- Patient Safety
Background:
- Kamishibai (K) cards are an established quality improvement tool for enhancing bundle compliance and peer feedback.
- A shift in personnel and focus on patient outcomes necessitated a process redesign.
Purpose of the Study:
- To revamp the Kamishibai (K) card process to improve its effectiveness.
- To increase bedside nurse engagement and standardize process completion across all units.
Main Methods:
- A multidisciplinary team redesigned the K card process, shifting from a champion model to universal nurse involvement.
- A 16-week, two-phase training program was implemented for nurse managers, educators, and bedside nurses using computer-based modules.
- Process application was validated following training.
Main Results:
- The project achieved its 16-week compliance target.
- A notable decrease in central line and Foley catheter device usage days was observed.
- The redesigned process fostered a culture of peer-to-peer feedback.
Conclusions:
- The revamped Kamishibai (K) card process effectively promotes evidence-based practices.
- The initiative successfully enhanced system standards and improved patient safety outcomes.
- Universal nurse engagement is key to successful quality improvement initiatives.
Background:
Kamishibai (K) cards are a quality improvement process focused on improved bundle compliance and promotion of peer-to-peer feedback that the health system has used for a few years.
Problem:
Changing personnel structure and an emphasis on patient outcomes prompted a need to revamp the K Card process.
Approach:
A team approach was used to redesign the process resulting in a program that moved from utilization of champions to engaging all bedside nurses and having a standard completion requirement for all units. In 2 phases spanning 16 weeks, the nurse managers, point-of-care educators, and all bedside nurses were trained in the process using a computer-based training module and validated in the application of the process.
Outcomes:
By the end of the 16-week period, the completion compliance target was reached, and the system began to see a decrease in central line and Foley catheter device usage days.
Conclusion:
The result of the project design was a peer-to-peer feedback mechanism, which promotes evidence-based practices and system standards.
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