Simple signature/countersignature shared-accountability quality improvement initiative to improve reliability of blood sample collection: an essential clinical task.
BMJ Open Qual
; 11(3)2022 09.
Article
in English
| MEDLINE | ID: covidwho-2038325
ABSTRACT
BACKGROUND:
Timely lab results are important to clinical decision-making and hospital flow. However, at our institution, unreliable blood sample collection for patients with central venous access jeopardised this outcome and created staff dissatisfaction.METHODS:
A multidisciplinary team of nurses including a specialist clinical nurse leader (CNL), the hospital intravenous team and quality improvement (QI) consultants aimed to achieve >80% blood sample collection reliability among patients with central venous access by employing a simple signature/countersignature form coupled with audit-feedback and behavioural economics strategies. The form was piloted on one 25-bed unit. Data were collected for 60 weeks and interpreted per standard run chart rules.RESULTS:
Blood sample collection reliability exceeded the 80% goal by week 22. The practice was sustained on the pilot unit and spread successfully to other wards despite significant operational threats including the COVID-19 pandemic.CONCLUSIONS:
At our institution, a simple signature/countersignature form supplemented by audit-feedback and behavioural economics strategies led to sustained practice change among staff. The pairing of CNL to QI consultant enhanced change potency and durability.Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Quality Improvement
/
COVID-19
Type of study:
Prognostic study
/
Qualitative research
Limits:
Humans
Language:
English
Year:
2022
Document Type:
Article
Affiliation country:
Bmjoq-2021-001765
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