Improving Patient Flow and Patient Transfers Through Implementation of an ED Nursing Voicemail Report System

2.50
Hdl Handle:
http://hdl.handle.net/10755/163034
Type:
Presentation
Title:
Improving Patient Flow and Patient Transfers Through Implementation of an ED Nursing Voicemail Report System
Abstract:
Improving Patient Flow and Patient Transfers Through Implementation of an ED Nursing Voicemail Report System
Conference Sponsor:Emergency Nurses Association
Conference Year:2004
Author:St. Pierre, Rory, RN, BSN
P.I. Institution Name:Carita Norwood Hospital
Contact Address:800 Washington Street, Norwood, MA, 02062, USA
Contact Telephone:(781)278-6424
Purpose: Emergency nurses face obstacles in communicating the nursing report to inpatient nursing units, resulting in delays in patient transfers and prolonged length of stay (LOS) in the emergency department (ED). Some emergency departments have successfully utilized faxed report systems; however, this requires redundant documentation on fax forms and can be dependent on fax machine limitations. To improve patient transfer reports, a one-month pilot was initiated to determine if a password-protected nursing voicemail report system could be used in lieu of conventional verbal or faxed reports. Setting/subjects: The voicemail pilot involved all patients admitted through the emergency department to three adult general medical/surgical units of a 264-bed suburban hospital. Implementation: A team of ED and inpatient nurses defined the necessary content and developed a critique tool to identify problems and determine accuracy of the reports. Information in the voicemail reports included patient name, age, chief complaint, tests and pertinent results, treatment rendered, and treatment response. Patients were transferred to inpatient units 30 minutes after receiving notification that report was given. Shorter transfer times could be negotiated during periods of high ED volume/acuity. Results: The nursing voicemail report system was implemented within the ED and three adult medical/surgical units. Emergency department nurses described improved efficiency and a reduction in time to give report, improved morale, and timelier end-of-shift departure. Inpatient nursing staff indicated improved satisfaction with the quality of the voicemail report and the elimination of legibility issues associated with faxed reports. Emergency department management identified a noticeable improvement in patient flow. Preliminary data indicated a reduction in the average LOS for admitted patients. Prior to implementing the voicemail report, the ED average LOS was 5.8 hours. One month after implementation, the average LOS was 5.47 hours. Recommendations: A nursing voicemail report system is an efficient alternative to verbal and faxed report systems. The voicemail report system (1) improved patient flow, (2) enhanced patient transfers, (3) reduced redundant documentation, (4) allowed ED nurses to elaborate on necessary patient data, and (5) reduced complaints of poor quality of faxed nursing reports.
Repository Posting Date:
27-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Emergency Nurses Association

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleImproving Patient Flow and Patient Transfers Through Implementation of an ED Nursing Voicemail Report Systemen_GB
dc.identifier.urihttp://hdl.handle.net/10755/163034-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Improving Patient Flow and Patient Transfers Through Implementation of an ED Nursing Voicemail Report System</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Emergency Nurses Association</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2004</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">St. Pierre, Rory, RN, BSN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Carita Norwood Hospital</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">800 Washington Street, Norwood, MA, 02062, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">(781)278-6424</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">rory_stpierre@cchcs.org</td></tr><tr><td colspan="2" class="item-abstract">Purpose: Emergency nurses face obstacles in communicating the nursing report to inpatient nursing units, resulting in delays in patient transfers and prolonged length of stay (LOS) in the emergency department (ED). Some emergency departments have successfully utilized faxed report systems; however, this requires redundant documentation on fax forms and can be dependent on fax machine limitations. To improve patient transfer reports, a one-month pilot was initiated to determine if a password-protected nursing voicemail report system could be used in lieu of conventional verbal or faxed reports. Setting/subjects: The voicemail pilot involved all patients admitted through the emergency department to three adult general medical/surgical units of a 264-bed suburban hospital. Implementation: A team of ED and inpatient nurses defined the necessary content and developed a critique tool to identify problems and determine accuracy of the reports. Information in the voicemail reports included patient name, age, chief complaint, tests and pertinent results, treatment rendered, and treatment response. Patients were transferred to inpatient units 30 minutes after receiving notification that report was given. Shorter transfer times could be negotiated during periods of high ED volume/acuity. Results: The nursing voicemail report system was implemented within the ED and three adult medical/surgical units. Emergency department nurses described improved efficiency and a reduction in time to give report, improved morale, and timelier end-of-shift departure. Inpatient nursing staff indicated improved satisfaction with the quality of the voicemail report and the elimination of legibility issues associated with faxed reports. Emergency department management identified a noticeable improvement in patient flow. Preliminary data indicated a reduction in the average LOS for admitted patients. Prior to implementing the voicemail report, the ED average LOS was 5.8 hours. One month after implementation, the average LOS was 5.47 hours. Recommendations: A nursing voicemail report system is an efficient alternative to verbal and faxed report systems. The voicemail report system (1) improved patient flow, (2) enhanced patient transfers, (3) reduced redundant documentation, (4) allowed ED nurses to elaborate on necessary patient data, and (5) reduced complaints of poor quality of faxed nursing reports.</td></tr></table>en_GB
dc.date.available2011-10-27T10:38:25Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-27T10:38:25Z-
dc.description.sponsorshipEmergency Nurses Associationen_GB
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