Improving the neonatal team handoff process in a level IV NICU: reducing interruptions and handoff duration.

Publication/Presentation Date

1-1-2021

Abstract

BACKGROUND: Neonatal intensive care unit (NICU) patients are at increased risk for handoff communication failures due to complexity and prolonged length of stay. We report a quality initiative aimed at reducing avoidable interruptions during neonatal handoffs while monitoring handoff duration and provider satisfaction.

METHODS: Observational time series between August 2015 and March 2018 in an academic level IV NICU. NICU I-PASS and process changes were implemented using plan-do-study-act cycle, and statistical process control charts were used in the analysis. Unmatched preintervention and postintervention satisfaction surveys were compared using Mann-Whitney U tests.

RESULTS: There was special cause variation in the mean number of avoidable interruptions per handoff from 4 to 0.3 (92% reduction). The mean duration of handoff was reduced ~1 min/patient. Provider satisfaction with the quality of handoffs also improved from a mean of 3.36 to 3.75 on a 1-5 Likert scale (p=0.049).

CONCLUSIONS: Standardisation of NICU handoff with NICU I-PASS and process changes led to the sustained reduction in avoidable interruptions with the added benefit of reduced handoff length and improved provider satisfaction.

Volume

10

Issue

1

ISSN

2399-6641

Disciplines

Medicine and Health Sciences | Pediatrics

PubMedID

33472852

Department(s)

Department of Pediatrics

Document Type

Article

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