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- Title
Transfer of Accountability between the Emergency Department (ED) and the Intensive Care Unit (ICU).
- Authors
Guiyab, Melissa; Paramalingam, Vasuki; Swift, Shannon; Savedra, Prafulla; Barratt, Lee; Den Bok, Jodi
- Abstract
Purpose/goals: To improve the consistency and quality of information provided in the transfer of accountability (TOA) process between nurses from the Emergency Department (ED) to the Intensive Care Unit (ICU) through standardization and the use of a checklist. Session description: This electronic poster describes the process undertaken by the emergency department (ED) and two intensive care units (ICUs) to improve interdepartmental transfer of accountability (TOA) during patient handover. The transfer of patients from one department to another has been identified as a high-risk point in patient care. To ameliorate the nursing TOA of patients from the ED to the ICU, a phased approach was taken using principles of quality improvement. Initially beginning with the ED and the Trauma-Neurosurgery Intensive Care Unit (TNICU), a checklist and video illustrating how TOA should occur were created. On successful implementation, the checklist was revised to include the care needs of Medical-Surgical Intensive Care Unit (MSICU) and the new process was introduced there. This new practice is sustained with huddles and audits. As a result of standardizing TOA, interdepartmental relations and patient care have significantly improved. Learning outcomes: 1. Describe the impact TOA has on patient safety and identify risks associated with poor handover. 2. Apply communication techniques for interdepartmental TOA to your own practice setting.
- Publication
Canadian Journal of Critical Care Nursing, 2017, Vol 28, Issue 2, p62
- ISSN
2368-8653
- Publication type
Academic Journal