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Bridging the Technology Divide in the COVID-19 Era: Using Virtual Outreach to Expose Middle and High School Students to Imaging Technology

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Providing a Clear Path to the Direct Admission Process.

Sarah Johnson¹, Aney Abraham, Julie A Lopez

¹Author Affiliations: Clinical Manager (Dr Johnson), Vice President of Patient Care Services (Dr Abraham), and Assistant Professor of Adult Health & Gerontological Nursing (Dr Lopez), College of Nursing, Rush University Medical Center, Chicago, Illinois.

The Journal of Nursing Administration

|February 8, 2023

Summary

A new electronic screening tool improved patient safety during hospital admissions by ensuring clinical triage. This process reduced risks associated with direct admissions, enhancing care transitions.

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Area of Science:

Healthcare quality improvement
Patient safety protocols
Clinical informatics

Background:

Direct hospital admissions without clinical triage pose significant patient safety risks.
Ineffective triage can lead to inappropriate patient placement and adverse events.

Purpose of the Study:

To enhance patient safety during care transitions.
To develop and implement a novel electronic screening tool for direct admissions.

Main Methods:

An electronic medical record module using the Situation, Background, Assessment, and Recommendation (SBAR) mnemonic was developed.
Transfer center nurses utilized the module for clinical triage and bed placement of direct admission requests.

Main Results:

189 direct admissions were evaluated; 13 patients were screened and redirected to the emergency department due to instability.
One safety event occurred involving a hypoglycemic patient post-admission.
The new screening program demonstrated a safer approach to direct patient admissions.

Conclusions:

The electronic SBAR tool facilitates compliance with Joint Commission standards for care transitions.
Workflow modifications significantly improved patient safety.
The program's success warrants future expansion to all hospital service lines.