Unplanned Transfers to Critical Care: Implementation of Admission Criteria to Medical Surgical Units

22.40
Hdl Handle:
http://hdl.handle.net/10755/182393
Category:
Abstract
Type:
Presentation
Title:
Unplanned Transfers to Critical Care: Implementation of Admission Criteria to Medical Surgical Units
Author(s):
Belcher, Margaret
Author Details:
Margaret Belcher, RN, BSN, CCRN, Tampa General Hospital, Tampa, Florida, USA, email: mbelcher@tgh.org
Abstract:
Background: Case review of patients who transfer to a critical care unit after recent admission to a medical-surgical unit can identify safety and process issues for an organization. Admission criteria to medical-surgical was developed and implemented to provide guidance to clinicians on the most appropriate units to admit it. Methods: A multidisciplinary team (nursing, physician, respiratory therapy) conducts a monthly review of patients admitted from the Emergency Department or transferred from a critical unit (including PACU) to a medical surgical unit and then transferred to a critical care unit within defined timeframes. The admission criteria was used to determine if the admission or transfer was appropriate. Each case of transfer is also reviewed for appropriate recognition of changes in status, activation of the RRT team and appropriate notification of physicians. Results: Sixty-one cases from the medical-surgical division met inclusion criteria for review. In depth case review revealed that 11 did not meet admission criteria. The cases revealed that physician decision-making, nursing knowledge, respiratory care and system issues can all impact an inappropriate admission. Multiple education forums, peer case reviews and changes to processes have been implemented based on the case reviews. Conclusion: The development and implementation of admission criteria sets a guideline for objective case review. The case review by a multidisciplinary team can reveal multiple opportunities for improvement of patient outcomes.
Repository Posting Date:
28-Oct-2011
Date of Publication:
28-Oct-2011
Conference Date:
2009
Conference Name:
ANCC National Magnet Conference
Conference Host:
American Nurses Credentialing Center
Conference Location:
Louisville, Kentucky, USA
Description:
"Magnet: Inspiring Innovation, Achieving Outcomes" was the theme and "Explore the relationship among leadership, innovation, and nursing practice outcomes" was the goal of the 13th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 1-3 October, 2009 in Louisville, Kentucky, 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.titleUnplanned Transfers to Critical Care: Implementation of Admission Criteria to Medical Surgical Unitsen_GB
dc.contributor.authorBelcher, Margareten_US
dc.author.detailsMargaret Belcher, RN, BSN, CCRN, Tampa General Hospital, Tampa, Florida, USA, email: mbelcher@tgh.orgen_US
dc.identifier.urihttp://hdl.handle.net/10755/182393-
dc.description.abstractBackground: Case review of patients who transfer to a critical care unit after recent admission to a medical-surgical unit can identify safety and process issues for an organization. Admission criteria to medical-surgical was developed and implemented to provide guidance to clinicians on the most appropriate units to admit it. Methods: A multidisciplinary team (nursing, physician, respiratory therapy) conducts a monthly review of patients admitted from the Emergency Department or transferred from a critical unit (including PACU) to a medical surgical unit and then transferred to a critical care unit within defined timeframes. The admission criteria was used to determine if the admission or transfer was appropriate. Each case of transfer is also reviewed for appropriate recognition of changes in status, activation of the RRT team and appropriate notification of physicians. Results: Sixty-one cases from the medical-surgical division met inclusion criteria for review. In depth case review revealed that 11 did not meet admission criteria. The cases revealed that physician decision-making, nursing knowledge, respiratory care and system issues can all impact an inappropriate admission. Multiple education forums, peer case reviews and changes to processes have been implemented based on the case reviews. Conclusion: The development and implementation of admission criteria sets a guideline for objective case review. The case review by a multidisciplinary team can reveal multiple opportunities for improvement of patient outcomes.en_GB
dc.date.available2011-10-28T15:22:18Z-
dc.date.issued2011-10-28en_GB
dc.date.accessioned2011-10-28T15:22:18Z-
dc.conference.date2009en_US
dc.conference.nameANCC National Magnet Conferenceen_US
dc.conference.hostAmerican Nurses Credentialing Centeren_US
dc.conference.locationLouisville, Kentucky, USAen_US
dc.description"Magnet: Inspiring Innovation, Achieving Outcomes" was the theme and "Explore the relationship among leadership, innovation, and nursing practice outcomes" was the goal of the 13th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 1-3 October, 2009 in Louisville, Kentucky, USA.en_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.-
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