Structured Documentation of Home Ventilator Settings in Children: A Quality Improvement Project

Michelle K. Joyner, Folashade C. Afolabi, Tessa L. Payne, Rémi M. Hueckel

Research output: Contribution to journalArticle

Abstract

Introduction In children requiring long-term mechanical ventilation (LTMV), insufficient admission charting can lead to adverse events. Our purpose in this study was to create and evaluate a structured documentation tool of home LTMV settings to improve communication, documentation, and patient safety. Method This study used a pretest–posttest survey of pulmonary unit nurses' satisfaction with the tool and perceptions of patient safety, chart reviews of documentation compliance, and reports of education session attendance. Mann-Whitney U and Fisher exact tests, category analyses, and descriptive statistics were applied. Results Nurses' reports of positive communication of LTMV settings increased from 54.5% to 100% (p = .002), overall satisfaction with associated documentation increased (p < .001), and witnessed related adverse events decreased from 50% to 18.75%. Nurse compliance for education attendance and documentation was 97.4% and 97.3%, respectively. Discussion Structured admission charting of LTMV settings should be continued and yielded improvements in pulmonary unit nurses' perceptions of communication, patient safety, and documentation compliance.

Original languageEnglish (US)
Pages (from-to)111-121
Number of pages11
JournalJournal of Pediatric Health Care
Volume31
Issue number1
DOIs
Publication statusPublished - Jan 1 2017

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Keywords

  • communication
  • quality improvement
  • safety
  • structured documentation
  • Ventilator

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

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