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Volume 03
Stem Cells 2019 & Pediatrics Congress 2019
November 06-07, 2019
Journal of Child and Adolescent Psychiatry
November 06-07, 2019 | Tokyo, Japan
STEM CELLS AND REGENERATIVE MEDICINE
PEDIATRICS AND CHILD CARE
International Conference on
2
nd
World Congress on
&
J Child Adolesc Psych, Volume 03
Nursing Handoff: Implementing a standard handoff communication tool between
outpatient and inpatient
Melissa Golombek
Johns Hopkins All Children's Hospital, USA
Purpose
: The Joint Commission identifies a standard handoff during patient transitions as a National Patient Safety Goal.
Despite the importance of handoffs, many hospitals do not have a standard handoff process in place. The purpose of this quality
improvement project was to implement a standardized and structured nursing handoff process between a pediatric outpatient
hematology/oncology clinic and a pediatric inpatient hematology/oncology unit utilizing the SBAR communication tool to
evaluate its impact on nurse perception of missed care and nurse satisfaction.
Project Design
: The project design was a quality improvement project utilizing a Plan-Do-Study-Act (PDSA) rapid cycle
improvement model to implement a standard and structured handoff process using SBAR.
Method
: Nurses in the hematology/oncology clinic and inpatient unit were educated on a mandatory structured handoff process
utilizing the SBAR tool. Staff nurses completed surveys before and after the handoff process. Data was compared in the
aggregate and reviewed for statistical significance. The objectives of this project were 1. Decrease missed care in the pediatric
hematology/oncology patient population between the outpatient clinic and inpatient nursing staff. 2. Increase the outpatient
hematology/oncology clinic nurse and the inpatient hematology/oncology nurse satisfaction. All data was reported as frequencies
and percentages.
Results
: There was a statistical difference identified between pre- and post- implementation groups in the area the area of
communication (p = 0.0009) and nurse satisfaction (p = < 0.0001). There was a significant difference in urgent patient needs (p =
0.0224) and reassessment (p = 0.0011). There was no statically difference between pre- and post- implementation groups between
demographics and job characteristics.
Conclusion
: Nursing handoff is an essential component of patient care. The communication of information between care givers
can potentially affect patient care and teamwork between healthcare providers caring for patients. The handoff process utilized
in this QI project required nurses to communicate in a structured way during admission from an outpatient clinic to an inpatient
unit. It improved perception of communication, decreased the perception of missed care and increased nurse reported satisfaction
and teamwork.
Mgolomb2@jhmi.edu