A39 IMPROVING QUALITY IN THE INTENSIVE CARE UNIT / Thematic Poster Session / Sunday, May 20/8:15 AM-4:30 PM / Area C (Hall D, North Building, Lower Level), Moscone Center
Evaluating An Established Systems Process To Improve The Rate Of Patient Problem Lists In The Picu P. Khandhar1, S. Abu Sultaneh2, M. Atwood2, G. Caprirolo1, M. T. Jouhari1, M. Wakeham2, 1Medical College of Wisconsin, Milwaukee, WI, 2Medical College of Wisconsin, Milwaukee Corresponding author's email:
[email protected] Introduction/Rationale: Electronic medical records (EMR) can potentially improve dissemination of patient information between medical care providers during change of shift. The EMR at Children’s Hospital of Wisconsin, Sunrise Acute Care by Eclipsys, has the ability to input patient data that carries over through repeat clinical visits. One part of the electronic patient record is an ongoing problem list detailing a patient’s ongoing and chronic past medical history. This group recognized that the problem list was not present in about half of PICU patient admissions. Thus, we conducted a QI project on this established systems process. We placed an educational intervention on this established process aiming for a goal of at least 80% of total PICU patients with a problem list post-implementation. Methods: Baseline data was obtained one month prior to implementation assessing the impact of the proposed educational initiative. Once baseline data was collected, all PICU medical providers received education on how to add or modify data in the deficient area. Post-implementation, data collection occurred biweekly for 15 months. Analysis of data was done using a control chart (QI Macros software for Excel). Results: Using a p-chart analyses, pre-implementation data revealed 45.2% of patients had an updated problem list while 87.5% of patients had an updated problem list post-implementation (Figure 1). Conclusion: Educating medical care providers with this educational initiative proved successful as the goals were met, further proved by usage of p-chart to evaluate the QI implementation. This initiative is now part of orientation curriculum for all PICU care providers and represents a successful QI implementation that led to a curriculum change. Further research includes studying the accuracy of the patient problem list and measuring the improvement and efficiency of patient care handoff. Figure 1: Control Chart of Patients' Problem List
This abstract is funded by: None Am J Respir Crit Care Med 185;2012:A1455 Internet address: www.atsjournals.org
Online Abstracts Issue
