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- Title
Impact of Pediatric Intensive Care Unit Preadmission Huddle on Perceptions of Interprofessional Communication About Patient Safety.
- Authors
Perkowski, Caroline; Eldridge, Barbara; Zurca, Adrian D.; Demartini, Theodore K. M.; Ceneviva, Gary D.; Williams, Duane; Fang, Xinying; Zhou, Shouhao; Thomas, Neal J.; Krawiec, Conrad
- Abstract
Background: Preadmission discussions in the study institution's pediatric intensive care unit are not standardized and admission plans were thought to be disjointed, leading to a perceived lack of organization and preparation for the arrival of a critically ill child. Objective: To evaluate the impact of a new, formalized preadmission pediatric intensive care unit interdisciplinary huddle on clinician perceptions of interprofessional communication. The hypothesis was that preadmission huddles would improve unit clinicians' perceptions of interprofessional communication. Methods: Interprofessional pediatric intensive care unit clinicians (physicians, advanced practice providers, nurses, and respiratory therapists) completed surveys before and 7 months after preadmission interdisciplinary huddle implementation. Huddle compliance and perceptions of interprofessional communication in the unit were evaluated. Results: Of 265 eligible pediatric intensive care unit admissions, 69 huddles (26.0%) occurred. The postintervention survey revealed increased odds (odds ratio [95% CI]) of responding "strongly agree" or "agree" to questions about the opportunity to "communicate effectively with health care team members" (2.42 [1.10-5.34]), "respond to feedback from health care team members" (2.54 [1.23-5.24]), and "convey knowledge to other health care team members" (2.71 [1.31-5.61]) before an admission. Discussion: This study introduced a formalized huddle that improved pediatric intensive care unit clinicians' perceived communication with other health care team members in the preadmission period. Conclusions: Future studies are needed to determine if this perceived improvement in communication significantly affects health care outcomes of critically ill children or if these results are generalizable to other pediatric intensive care unit settings.
- Subjects
INTENSIVE care units; EVALUATION of medical care; CONFIDENCE intervals; ATTITUDES of medical personnel; CRITICALLY ill; PEDIATRICS; PATIENTS; HOSPITAL admission &; discharge; SURVEYS; HUMAN services programs; INTERPROFESSIONAL relations; COMMUNICATION; HEALTH care teams; NURSES; PHYSICIANS; NURSE practitioners; ODDS ratio; PATIENT safety; CHILDREN
- Publication
Critical Care Nurse, 2022, Vol 42, Issue 4, p55
- ISSN
0279-5442
- Publication type
Article
- DOI
10.4037/ccn2022307