التفاصيل البيبلوغرافية
| العنوان: |
IMPLEMENTING A PROGRAM TO PROMOTE PATIENT SAFETY BY ENHANCING COMMUNICATION BETWEEN INPATIENT MID-LEVEL PROVIDERS AND THE PATIENT'S FOLLOW-UP PHYSICIAN/NURSE. |
| المؤلفون: |
Rohlfs, Michelle1, Gerber, Donna1, Lacey, Carol1, Richard, Jessica1, Dett, Tina1 |
| المصدر: |
Oncology Nursing Forum. Mar2007, Vol. 34 Issue 2, p510-511. 2p. |
| مصطلحات موضوعية: |
*PATIENT safety, *PHYSICIAN-patient relations, *NURSE-patient relationships, *CANCER treatment, *INPATIENT care, *OUTPATIENT medical care, *ONCOLOGISTS, *MEDICAL personnel |
| مستخلص: |
Many patients travel to comprehensive cancer centers to receive cancer treatment. They receive medications, whether inpatient or in an ambulatory treatment center, and return to their hometown between courses of treatment. Treatment complications most often occur in the patients' home areas/settings while under the care of their local oncologists/family physicians. In some instances the cancer center's clinic team appears to be unaware of what transpired during treatment. Without the knowledge of what the patient received and what to expect while the patient is under their care, the physicians and/or clinic nurses may be lacking important information when making decisions regarding appropriate interventions. This is not an issue during the hospital stay in the primary treatment center, as communication is done with nurse-to-nurse handoff and physician-to- physician handoff per JCAHO requirements. A need to have a systematic outline of how to communicate with the medical team responsible for the follow-up of patients receiving treatment with biochemotherapy or high-dose bolus interleukin-2 was identified. An action plan was initiated within the Department of Melanoma Medical Oncology to implement a program to enhance communication between the home medical team and the outpatient clinical team within our institution. A plan was developed to implement a consistent communication process within our own institution. When a patient is discharged from the inpatient setting, an email is sent to the outpatient clinical nurse/mid-level provider regarding the patient's current status. The email message includes pertinent clinical information and any necessary follow-up including pending cultures. This communication is done regardless of disposition/discharge location. In addition, the inpatient mid-level providers communicate with the home area health care teams. Communication includes laboratory orders for interim tests, documentation of treatment including growth factors, and any other pertinent information (using HIPPA guidelines). To evaluate the process, monthly meetings between the inpatient and outpatient personnel (including mid-level providers) are called to address any issues that may have arose. This poster will discuss the process and implementation of a communication plan to ensure the safety of patients receiving inpatient treatment and appropriate follow-up/outpatient care. [ABSTRACT FROM AUTHOR] |
| قاعدة البيانات: |
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