Kamishibai Cards: A Conversation About Patient Safety. Issue 4 (October 2021)

• Record Type: Journal Article
• Authors: Stewart, Stephanie
• Is Part Of: Journal of nursing care quality. Volume 36:Issue 4(2021)
• Publication Date: 2021-10
• Subjects: bundle compliance -- K Card -- Kamishibai Card -- peer-to-peer feedback; Nursing -- Standards -- Periodicals; Nursing audit -- Periodicals; Health facilities -- Safety measures -- Periodicals; Nurse administrators -- Periodicals; 610.73
• DOI: 10.1097/NCQ.0000000000000541
• Languages: English
• ISSNs: 1057-3631

Abstract

Abstract : Background: Kamishibai (K) cards are a quality improvement process focused on improved bundle compliance and promotion of peer-to-peer feedback that the health system has used for a few years. Problem: Changing personnel structure and an emphasis on patient outcomes prompted a need to revamp the K Card process. Approach: A team approach was used to redesign the process resulting in a program that moved from utilization of champions to engaging all bedside nurses and having a standard completion requirement for all units. In 2 phases spanning 16 weeks, the nurse managers, point-of-care educators, and all bedside nurses were trained in the process using a computer-based training module and validated in the application of the process. Outcomes: By the end of the 16-week period, the completion compliance target was reached, and the system began to see a decrease in central line and Foley catheter device usage days. Conclusion: The result of the project design was a peer-to-peer feedback mechanism, which promotes evidence-based practices and system standards. Abstract : Supplemental Digital Content is Available in the Text.