How We Got Smart: Improving Interdisciplinary Communication When Summoning Neonatology to High-Risk Deliveries. Issue 3 (July 2018)

• Record Type: Journal Article
• Authors: Sundgren, Nathan C.; Gokulakrishnan, Ganga; Kelly, Frances C.; Kainer, Kellie S.; Hagan, Joseph L.; Witt, Melissa A.; D'Ambrosio, Deborah; Graf, Jeanine M.; Suresh, Gautham K.
• Is Part Of: Journal of perinatal & neonatal nursing. Volume 32:Issue 3(2018)
• Publication Date: 2018-07
• Subjects: communication -- middleware -- neonatology -- newborn -- obstetrics -- paging -- resuscitation -- technology; Maternity nursing -- Periodicals; Neonatal nursing -- Periodicals; Maternal health services -- Periodicals; Newborn infants -- Medical care -- Periodicals; 610.7362
• DOI: 10.1097/JPN.0000000000000333
• Languages: English
• ISSNs: 0893-2190

Abstract

Abstract : Communication around high-risk deliveries is critical to ensure patient safety. A hospital-wide system change in paging the neonatal resuscitation team (NRT) to deliveries was implemented but disliked. An interdisciplinary team seized the opportunity to explore opportunities for an enhanced system to improve communication. The team designed a new screen to our smart panel (responder 5 staff terminal, Rauland, Mount Prospect, Illinois) to page NRT with the location and primary indication for which they were needed at delivery. Surveys assessed user satisfaction among labor and delivery and NRT. Before and after implementation of the smart panel, we assessed number of NRT pages, frequency of NRT being paged prior to the delivery, the time between page and delivery, and use of the code button to summon help. Labor and delivery and NRT user satisfaction greatly improved with the smart panel. Frequency of NRT being paged before birth increased with fewer code pages being used to summon NRT to deliveries. A touch screen–based notification system can enhance timely notification to summon NRT to deliveries while concurrently enhancing satisfaction of providers in both the delivery room and on the NRT. Abstract : Supplemental Digital Content is Available in the Text.