2.50
Hdl Handle:
http://hdl.handle.net/10755/308634
Category:
Abstract
Type:
Presentation
Title:
Shaping Up Unit-to-Unit Handoffs with a Lean Six Sigma Workout
Author(s):
Fleischman, Ellen K.; Lanciers, Monika
Lead Author STTI Affiliation:
Non-member
Author Details:
Ellen K. Fleischman, RN, RD, MBA, MSN, ellen.fleischman@sharp.com; Monika Lanciers, RN, BSN
Abstract:

Session presented on: Tuesday, November 19, 2013

Handoffs between hospital units create opportunities for gaps in patient safety due to missed information and miscommunication.  Sharp Mary Birch Hospital for Women & Newborns, a free-standing women’s hospital with ~8,600 deliveries per year, has a high volume of unit-to-unit handoffs.  The hospital implemented a quality improvement project in accordance with the 2006 Joint Commission National Patient Safety Goal 2E to improve the handoff process. The Lean Six-Sigma Work-Out process was used to review current practices and develop an improvement plan.  A Work-Out is a process designed to bring the right stakeholders together to develop solutions and actions. The Work-Out group developed and implemented a standardized report checklist and a face-to-face bedside handoff process for unit-to-unit patient transfers.  A voice-over Power Point presentation was utilized for staff education, and a “WELCOME” pneumonic was developed to help staff remember the key components of the handoff. The face-to-face handoff process was implemented in two phases, first between Labor & Delivery to postpartum, followed by Post Anesthesia Care to postpartum. The global rating on the HCAHPS survey increased from the 84th percentile prior to the project to the 99th percentile after implementation, and Communication with Nurses increased from the 80th percentile to the 96th percentile.  Improvements are expected in the 2013 AHRQ survey as compared to the 2012 survey, particularly in the areas of Handoffs and Transitions (55% positive) and Teamwork Across Units (63% positive).  Staff survey feedback regarding the new process was 64% positive in the first phase, and 82% positive in the second phase, noting benefits of adjustments that were made after the first phase.  Implementing face-to-face handoffs for unit-to-unit transfers provides an opportunity to improve patient safety, patient satisfaction, and staff perception of safety and collaboration.
Keywords:
Handoffs; Patient Safety; Collaboration
Repository Posting Date:
19-Dec-2013
Date of Publication:
19-Dec-2013
Conference Date:
2013
Conference Name:
42nd Biennial Convention
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Indianapolis, Indiana, USA
Description:
42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriott

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleShaping Up Unit-to-Unit Handoffs with a Lean Six Sigma Workouten_GB
dc.contributor.authorFleischman, Ellen K.en_GB
dc.contributor.authorLanciers, Monikaen_GB
dc.contributor.departmentNon-memberen_GB
dc.author.detailsEllen K. Fleischman, RN, RD, MBA, MSN, ellen.fleischman@sharp.com; Monika Lanciers, RN, BSNen_GB
dc.identifier.urihttp://hdl.handle.net/10755/308634-
dc.description.abstract<p>Session presented on: Tuesday, November 19, 2013</p>Handoffs between hospital units create opportunities for gaps in patient safety due to missed information and miscommunication.  Sharp Mary Birch Hospital for Women & Newborns, a free-standing women’s hospital with ~8,600 deliveries per year, has a high volume of unit-to-unit handoffs.  The hospital implemented a quality improvement project in accordance with the 2006 Joint Commission National Patient Safety Goal 2E to improve the handoff process. The Lean Six-Sigma Work-Out process was used to review current practices and develop an improvement plan.  A Work-Out is a process designed to bring the right stakeholders together to develop solutions and actions. The Work-Out group developed and implemented a standardized report checklist and a face-to-face bedside handoff process for unit-to-unit patient transfers.  A voice-over Power Point presentation was utilized for staff education, and a “WELCOME” pneumonic was developed to help staff remember the key components of the handoff. The face-to-face handoff process was implemented in two phases, first between Labor & Delivery to postpartum, followed by Post Anesthesia Care to postpartum. The global rating on the HCAHPS survey increased from the 84th percentile prior to the project to the 99th percentile after implementation, and Communication with Nurses increased from the 80th percentile to the 96th percentile.  Improvements are expected in the 2013 AHRQ survey as compared to the 2012 survey, particularly in the areas of Handoffs and Transitions (55% positive) and Teamwork Across Units (63% positive).  Staff survey feedback regarding the new process was 64% positive in the first phase, and 82% positive in the second phase, noting benefits of adjustments that were made after the first phase.  Implementing face-to-face handoffs for unit-to-unit transfers provides an opportunity to improve patient safety, patient satisfaction, and staff perception of safety and collaboration.en_GB
dc.subjectHandoffsen_GB
dc.subjectPatient Safetyen_GB
dc.subjectCollaborationen_GB
dc.date.available2013-12-19T17:33:53Z-
dc.date.issued2013-12-19-
dc.date.accessioned2013-12-19T17:33:53Z-
dc.conference.date2013en_GB
dc.conference.name42nd Biennial Conventionen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationIndianapolis, Indiana, USAen_GB
dc.description42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriotten_GB
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