Date: Saturday, June 2, 2018
Session Name: Poster Session A: Quality Assurance Process Improvement
Session Time: 5:30pm-7:30pm
Presentation Time: 5:30pm-7:30pm
Location: Hall 4EF
Multidisciplinary communication (MDC) is critical for transplant patient (TXP) safety. We hypothesized that formal, scripted multidisciplinary rounds (MDR) would yield improved MDC HCAHPS scores (Hospital Consumer Assessment of Healthcare Providers and Systems) and provider self-assessment.
Formal transplant team MDR began at the start of FY18 (7/1/17) with charge RN, bedside RN, MDs, NPs, transplant coordinators, PharmD, social workers, dietician and discharge planners participating. Percent of “top box” (i.e. “Always”) HCAHPS scores before and after MDR were compared. An anonymous web survey to all team members asked about change after MDR on a scale of 0-10 (5 neutral, 10 “Much Better,” 0 “Much Worse,” etc.).
HCAHPS Scores: % "Top Box"
Change After MDR Survey:
22 RNs, 7 MDs and 13 multidisciplinary providers responded to the online survey (response rates 50%, 63.6% and 61.9% respectively). Respondents felt MDR had led to MDC improvements (shown as median survey Likert response, 0-10, > 5 improved):
|Sense of TXP safety||6.5||7||8|
|Sense of belonging to multidisciplinary team||5.5||5||9|
|Comfort caring for TXP||8||NA||9|
|Comfort raising questions or concerns about TXP||7||NA||6|
|Multidisciplinary rounds are effective use of time||8.5||7||10|
Formal, scripted multidisciplinary rounds improved caregiver engagement and sense of TXP safety. HCAHPS scores improved significantly in 2 MDC-related domains. Further data is needed to understand if MDR yield improvements in TXP safety, length of stay, readmission rates or overall cost of care.
CITATION INFORMATION: Sigafus K., LaMura E., Massimiani M., Chiang C., Nicoll K., Yoho M., Bleicher M., Nazarian S. Multidisciplinary Transplant Rounds: A Step to Improved Team and Patient Satisfaction Am J Transplant. 2017;17 (suppl 3).
To cite this abstract in AMA style:Sigafus K, LaMura E, Massimiani M, Chiang C, Nicoll K, Yoho M, Bleicher M, Nazarian S. Multidisciplinary Transplant Rounds: A Step to Improved Team and Patient Satisfaction [abstract]. https://atcmeetingabstracts.com/abstract/multidisciplinary-transplant-rounds-a-step-to-improved-team-and-patient-satisfaction/. Accessed October 23, 2020.
« Back to 2018 American Transplant Congress