Simple signature/countersignature shared-accountability quality improvement initiative to improve reliability of blood sample collection: an essential clinical task
In: BMJ Open Quality, Jg. 11 (2022-09-01), Heft 3
Online
academicJournal
Zugriff:
Background Timely lab results are important to clinical decision-making and hospital flow. However, at our institution, unreliable blood sample collection for patients with central venous access jeopardised this outcome and created staff dissatisfaction.Methods A multidisciplinary team of nurses including a specialist clinical nurse leader (CNL), the hospital intravenous team and quality improvement (QI) consultants aimed to achieve >80% blood sample collection reliability among patients with central venous access by employing a simple signature/countersignature form coupled with audit-feedback and behavioural economics strategies. The form was piloted on one 25-bed unit. Data were collected for 60 weeks and interpreted per standard run chart rules.Results Blood sample collection reliability exceeded the 80% goal by week 22. The practice was sustained on the pilot unit and spread successfully to other wards despite significant operational threats including the COVID-19 pandemic.Conclusions At our institution, a simple signature/countersignature form supplemented by audit-feedback and behavioural economics strategies led to sustained practice change among staff. The pairing of CNL to QI consultant enhanced change potency and durability.
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Simple signature/countersignature shared-accountability quality improvement initiative to improve reliability of blood sample collection: an essential clinical task
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Autor/in / Beteiligte Person: | Koch, Michael ; Wu, Chenwei ; O'Keeffe, Chatty ; Sanford, Jesse ; Hagel, Jean ; Childs, Shelia ; Evers, Gary ; Melbourne, Julie ; West, Collyn ; Paul B Cornia |
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Zeitschrift: | BMJ Open Quality, Jg. 11 (2022-09-01), Heft 3 |
Veröffentlichung: | BMJ Publishing Group, 2022 |
Medientyp: | academicJournal |
ISSN: | 2399-6641 (print) |
DOI: | 10.1136/bmjoq-2021-001765 |
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