Abstract TP367: Enhancing Patient Safety with Improved Monitoring following Cerebral Angiography
Background and Issues: In a Primary Stroke Center, which admits 1200-1300 stroke patients annually, cerebral angiography is a frequently performed diagnostic test. Frequent monitoring is important to evaluate for complications following the procedure. In 2009, the documentation compliance with site checks and vital sign monitoring was 58% and 78% respectively. Poor communication was occurring at change of shift regarding status of monitoring which resulted in lack of continuation with monitoring.
Purpose: The goal of this project was to increase compliance with monitoring and documentation in order to enhance patient safety.
Methods: In 3rd Quarter of 2009, education was rolled out to all RNs and Patient Care Technicians regarding the importance of monitoring and compliance with physician orders. A worksheet was developed to assist in determining the times when monitoring was due. This worksheet was handed off to the next shift and discussed in bedside shift report. All monitoring was to be documented in the electronic medical record. In 2010, a signature requirement was added to the worksheet for accountability.
Results: Compliance rates in 2010 were 81% for site checks and 91% for vital signs. Compliance rates in 2011 increased to 92% for site checks and 93% for vital signs.
Conclusions: A simple worksheet, for nurses to use with monitoring, improved the communication and handoff from nurse to nurse. Post cerebral angiography patient monitoring increased which improved patient safety.
- © 2012 by American Heart Association, Inc.