Communication and Relationship Skills for Rapid Response Teams at Hamilton Health Sciences

Cziraki, Karen; Lucas, Janie; Rogers, Toni; Page, Laura A.; Zimmerman, Rosanne; Hauer, Lois Ann; Daniels, Charlotte; Gregoroff, Susan

doi:10.12927/hcq.2008.19652

Cited by 16 publications

(7 citation statements)

References 11 publications

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“…Though different guidelines recommend single drugs with extended spectrum except some procedures like colorectal surgery [31][32][33][34]; this study revealed in more than 44% study participants, in which combinations of antimicrobials were used. However; in our study abdominal surgery represents only 26.9% of study participants [35].…”

Section: Discussionmentioning

confidence: 95%

“…But different studies showed involvement of anesthesia staffs improve the compliance on timing of prophylaxis administration [24,32,36]. Twenty (64.5%) of anesthetists agreed that they are responsible for the confirmation of PA administration and re-dosing.…”

Section: Discussionmentioning

confidence: 99%

“…Surgical site infection is the second most common hospital associated infections accounting 14-16% of all hospitalized patients; and 38% among that of surgical patients [1][2][3].…”

Section: Introductionmentioning

confidence: 99%

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Timing of Prophylactic Antibiotic Administration in Elective Surgical Patients at Jimma University Teaching Hospital: South West Ethiopia

Jisha¹

2016

J Anesth Clin Res

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Study objective: To evaluate the timing of prophylactic antibiotic administration in elective surgical patients, and anesthetists' opinion regarding this issue.Design: Prospective, facility based cross-sectional study was employed. Setting: Jimma university teaching hospital (JUTH)Patient: Elective surgical patients and anesthesia professional of the hospital.Measurement: Data were collected prospectively from all elective surgical patients (except emergency, obstetric cases) and interred in predesigned forms as per existing protocol in JUTH from February 01 to March 30, 2014. The time of antibiotic prophylactic administration in respect to incision time was analyzed and descriptive result was presented as percentages of total responses.Main results: Prophylactic antibiotics was given before skin incision for 107 (79.9%) patients and 27 (20.1%) after skin incision. However; only 75 (56%) patients were get administered within proper time (60minutes) and the mean time of preoperative administration was 66+24 minutes. Prophylactic antibiotic medication was continued for >24 hours in 95% cases and re-dosing were not given for six surgical procedures which lasted >3 hours.Out of 26, only 71% anesthetists could mention the recommended time of antibiotic prophylaxis administration. About 21(80.8%) of anesthetists agreed that its surgeon's responsibility for preoperative antibiotic selection and shared with nurses for preoperative administration. Anesthetists assume that they are responsible for confirmation of pre-incision administration and repeat administration during prolonged surgery. They indicated training was inadequate and deemed necessary in 77% of participants. Conclusion:The timing of prophylactic antibiotic administration was below the standard of practice. Hospital administration and infection control officer should work to improve compliance in accordance with published evidence-based guidelines.

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Section: Discussionmentioning

confidence: 95%

Section: Discussionmentioning

confidence: 99%

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Timing of Prophylactic Antibiotic Administration in Elective Surgical Patients at Jimma University Teaching Hospital: South West Ethiopia

Jisha¹

2016

J Anesth Clin Res

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“…Patient handovers and transitions in care are particularly vulnerable to information loss regardless of setting 51. Excellent communication skills are vital for challenging situations, such as breaking bad news and medical error disclosure 52. ‘Being open’ policies are increasingly encouraged, and sought by patients, yet a lack of skills on behalf of the physician remains an important barrier.…”

Section: Scope Of Simulation In Healthcare Using the Canmeds Frameworkmentioning

confidence: 99%

Training and simulation for patient safety

Aggarwal

Mytton²,

Derbrew

et al. 2010

Quality and Safety in Health Care

569

362

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Background Simulation-based medical education enables knowledge, skills and attitudes to be acquired for all healthcare professionals in a safe, educationally orientated and efficient manner. Procedure-based skills, communication, leadership and team working can be learnt, be measured and have the potential to be used as a mode of certification to become an independent practitioner. Results Simulation-based training initially began with life-like manikins and now encompasses an entire range of systems, from synthetic models through to high fidelity simulation suites. These models can also be used for training in new technologies, for the application of existing technologies to new environments and in prototype testing. The level of simulation must be appropriate to the learners' needs and can range from focused tuition to mass trauma scenarios. The development of simulation centres is a global phenomenon which should be encouraged, although the facilities should be used within appropriate curricula that are methodologically sound and cost-effective. Discussion A review of current techniques reveals that simulation can successfully promote the competencies of medical expert, communicator and collaborator. Further work is required to develop the exact role of simulation as a training mechanism for scholarly skills, professionalism, management and health advocacy.

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“…Better communication has been shown to improve RRT utilization [34]. It has been suggested that mandatory RRT activation helps reduce cardiorespiratory arrests outside of critical care areas in a hospital [35].…”

Section: Introductionmentioning

confidence: 99%

Evaluation of User Interface and Workflow Design of a Bedside Nursing Clinical Decision Support System

Yuan¹,

Finley²,

Long³

et al. 2013

Interact J Med Res

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BackgroundClinical decision support systems (CDSS) are important tools to improve health care outcomes and reduce preventable medical adverse events. However, the effectiveness and success of CDSS depend on their implementation context and usability in complex health care settings. As a result, usability design and validation, especially in real world clinical settings, are crucial aspects of successful CDSS implementations.ObjectiveOur objective was to develop a novel CDSS to help frontline nurses better manage critical symptom changes in hospitalized patients, hence reducing preventable failure to rescue cases. A robust user interface and implementation strategy that fit into existing workflows was key for the success of the CDSS.MethodsGuided by a formal usability evaluation framework, UFuRT (user, function, representation, and task analysis), we developed a high-level specification of the product that captures key usability requirements and is flexible to implement. We interviewed users of the proposed CDSS to identify requirements, listed functions, and operations the system must perform. We then designed visual and workflow representations of the product to perform the operations. The user interface and workflow design were evaluated via heuristic and end user performance evaluation. The heuristic evaluation was done after the first prototype, and its results were incorporated into the product before the end user evaluation was conducted. First, we recruited 4 evaluators with strong domain expertise to study the initial prototype. Heuristic violations were coded and rated for severity. Second, after development of the system, we assembled a panel of nurses, consisting of 3 licensed vocational nurses and 7 registered nurses, to evaluate the user interface and workflow via simulated use cases. We recorded whether each session was successfully completed and its completion time. Each nurse was asked to use the National Aeronautics and Space Administration (NASA) Task Load Index to self-evaluate the amount of cognitive and physical burden associated with using the device.ResultsA total of 83 heuristic violations were identified in the studies. The distribution of the heuristic violations and their average severity are reported. The nurse evaluators successfully completed all 30 sessions of the performance evaluations. All nurses were able to use the device after a single training session. On average, the nurses took 111 seconds (SD 30 seconds) to complete the simulated task. The NASA Task Load Index results indicated that the work overhead on the nurses was low. In fact, most of the burden measures were consistent with zero. The only potentially significant burden was temporal demand, which was consistent with the primary use case of the tool.ConclusionsThe evaluation has shown that our design was functional and met the requirements demanded by the nurses’ tight schedules and heavy workloads. The user interface embedded in the tool provided compelling utility to the nurse with minimal distraction.

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Communication and Relationship Skills for Rapid Response Teams at Hamilton Health Sciences

Cited by 16 publications

References 11 publications

Timing of Prophylactic Antibiotic Administration in Elective Surgical Patients at Jimma University Teaching Hospital: South West Ethiopia

Timing of Prophylactic Antibiotic Administration in Elective Surgical Patients at Jimma University Teaching Hospital: South West Ethiopia

Training and simulation for patient safety

Evaluation of User Interface and Workflow Design of a Bedside Nursing Clinical Decision Support System

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