2.50
Hdl Handle:
http://hdl.handle.net/10755/164207
Category:
Abstract
Type:
Presentation
Title:
Standardizing Hand-Off Communication Using Voice Technology
Author(s):
Johnson, Lora; McCarty, Erin; Mikos, Kathy
Author Details:
Lora Johnson, The White Stone Group, Knoxville, Tennessee, USA, email: nacnsorg@nacns.org; Erin McCarty; Kathy Mikos, MSN, RN, Provena St. Joseph Medical Center, Joliet, Illinois, USA
Abstract:
Purpose: Provena Saint Joseph Medical Center (PSJMC) is a 485-bed, acute care facility in Joliet, Illinois, running an ADC of 355 patients. In 2004, PSJMC evaluated a voice-based technology designed to standardize, automate, and streamline the process of patient reporting among nurses at hand-off. Significance: PSJMC sought a solution to measure improvements in quality, consistency, patient safety, and efficiency of hand-off communication. The hospital implemented OptiVox Patient Reporter, a voice-based patient reporting tool, on two Medical/Surgical floors. Background/Design: Challenges with shift reporting include excessive time required to complete shift reports, lack of consistency and standardization in reports, and interruptions during reports. Methods: PSJMC implemented the following process for hand-off communication: Each nurse going off duty uses a telephone to connect to a server and gives her report following a series of customizable voice prompts. Each nurse coming on duty dials into the system and listens to the applicable patient reports. Nurses can navigate through the report, which is saved on the server for later review. Nurse shifts overlap by approximately 15 minutes to assure an opportunity for face-to-face clarification. Findings: At the end of the 4-month evaluation period, PSJMC observed the following: 1. The time required to conduct shift change reports decreased by 67 percent, from an average of 60 minutes to less than 20 minutes. The overtime required to conduct shift reporting was reduced by more than 40 percent. 2. The technology improved the quality of communication between nurses at hand-off and streamlined the process by providing standardized reporting on each patient. 3. The expectations of the 2006 JCAHO 2E patient safety standards for hand-off communications were fulfilled. Conclusions: Based on actual results measured while evaluating OptiVox Patient Reports on two floors, the hospital expects to benefit from an annual cost savings of approximately $551,000 and a 50 percent reduction in overtime once it is implemented on all floors. Implications for Practice: PSJMC has proven that the significant and long-standing problems plaguing the process of patient reporting can be solved. A substantial overtime savings has resulted in measurable reductions in labor costs, observable improvements in patient care, and much-needed relief for nursing staff during shift change.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2007
Conference Name:
CNS Outcomes: Ensuring Safety and Quality
Conference Host:
NACNS - National Association of Clinical Nurse Specialists
Conference Location:
Phoenix, Arizona, USA
Description:
Conference theme: CNS Outcomes: Ensuring Safety and Quality, held February 28-March 1 in Phoenix, Arizona, USA
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleStandardizing Hand-Off Communication Using Voice Technologyen_GB
dc.contributor.authorJohnson, Loraen_US
dc.contributor.authorMcCarty, Erinen_US
dc.contributor.authorMikos, Kathyen_US
dc.author.detailsLora Johnson, The White Stone Group, Knoxville, Tennessee, USA, email: nacnsorg@nacns.org; Erin McCarty; Kathy Mikos, MSN, RN, Provena St. Joseph Medical Center, Joliet, Illinois, USAen_US
dc.identifier.urihttp://hdl.handle.net/10755/164207-
dc.description.abstractPurpose: Provena Saint Joseph Medical Center (PSJMC) is a 485-bed, acute care facility in Joliet, Illinois, running an ADC of 355 patients. In 2004, PSJMC evaluated a voice-based technology designed to standardize, automate, and streamline the process of patient reporting among nurses at hand-off. Significance: PSJMC sought a solution to measure improvements in quality, consistency, patient safety, and efficiency of hand-off communication. The hospital implemented OptiVox Patient Reporter, a voice-based patient reporting tool, on two Medical/Surgical floors. Background/Design: Challenges with shift reporting include excessive time required to complete shift reports, lack of consistency and standardization in reports, and interruptions during reports. Methods: PSJMC implemented the following process for hand-off communication: Each nurse going off duty uses a telephone to connect to a server and gives her report following a series of customizable voice prompts. Each nurse coming on duty dials into the system and listens to the applicable patient reports. Nurses can navigate through the report, which is saved on the server for later review. Nurse shifts overlap by approximately 15 minutes to assure an opportunity for face-to-face clarification. Findings: At the end of the 4-month evaluation period, PSJMC observed the following: 1. The time required to conduct shift change reports decreased by 67 percent, from an average of 60 minutes to less than 20 minutes. The overtime required to conduct shift reporting was reduced by more than 40 percent. 2. The technology improved the quality of communication between nurses at hand-off and streamlined the process by providing standardized reporting on each patient. 3. The expectations of the 2006 JCAHO 2E patient safety standards for hand-off communications were fulfilled. Conclusions: Based on actual results measured while evaluating OptiVox Patient Reports on two floors, the hospital expects to benefit from an annual cost savings of approximately $551,000 and a 50 percent reduction in overtime once it is implemented on all floors. Implications for Practice: PSJMC has proven that the significant and long-standing problems plaguing the process of patient reporting can be solved. A substantial overtime savings has resulted in measurable reductions in labor costs, observable improvements in patient care, and much-needed relief for nursing staff during shift change.en_GB
dc.date.available2011-10-27T11:44:01Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T11:44:01Z-
dc.conference.date2007en_US
dc.conference.nameCNS Outcomes: Ensuring Safety and Qualityen_US
dc.conference.hostNACNS - National Association of Clinical Nurse Specialistsen_US
dc.conference.locationPhoenix, Arizona, USAen_US
dc.descriptionConference theme: CNS Outcomes: Ensuring Safety and Quality, held February 28-March 1 in Phoenix, Arizona, USAen_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.en_US
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