Monday, June 23, 2008
Petree C (LA Convention Center)
IMPROVING NURSE/PHYSICIAN COMMUNICATION DURING EMERGENCY SITUATIONS RATIONALE
- Evidence indicates that miscommunication is a leading source of adverse events in healthcare
- The Joint Commission on Accreditation has listed “Improve the effectiveness of communication among caregivers” as a National Patient Safety Goal
- At a monthly Nurse/Physician meeting, physicians requested the need for a more organized report from nurses during emergency situations
- The purpose of this project was to implement a process to improve patient safety by improving nurse/physician communication in emergency situations.
- An interdisciplinary team consisting of Staff Nurses, OB Management Team, and a Physician developed a process to improve communication
- Emergency Scenarios were developed and printed on index cards
- Perinatal SBAR pocket cards were laminated, posted and given to staff nurses
- The interdisciplinary team conducted drills with staff by role playing in a non-threatening environment
- A recorder was used to tape emergency SBAR report
- Debriefing was done with the team and staff after the drills
- Staff Nurses have a clear expectation of SBAR report
- Staff Nurses feel prepared to give an organized report to physicians in an emergency situation
- Physicians report receiving appropriate and pertinent information to enable them to provide better care for their patients
- Communication between nurses and physicians in emergency situations has improved, therefore, improving patient safety.
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