Table 2 Completion of Application Case Checklist Action Items by Interprofessional Teams (n = 20)
Actions Completed (%) | |
|---|---|
Critical Action Items: Systematic Analysis of a Medical Error | |
Assessed initial vital signs | 95% |
Secured airway | 95% |
Appropriate ACLS protocol | 80% |
Asked for patient history | 55% |
Wash hands | 45% |
Obtain focused PE | 95% |
Recognize medical error/adverse event | 100% |
Identify contributors of the medical error | 100% |
Identify strategies to decrease probability of this error | 100% |
Generate a root cause analysis | 100% |
Critical Action Items: Interprofessional Hand-Off | |
Provided appropriate illness severity | 55% |
Patient summary is concise and relevant | 55% |
Provided action plan with clear instructions | 100% |
To do list provided | 100% |
Provided situation awareness – plan for what might happen | 100% |
Made efforts to clarify code status with patient (does not align with IPASS) | 40% |
Allowed receiver to synthesize and summary | 95% |
Allowed receiver to ask questions | 100% |
Introduced himself/herself and explained roles | 80% |
Critical Action Items: Safe Discharge | |
Include patient as a full partner in the discharge process | 95% |
Identified barriers to care | 50% |
Reviewed medication regimen | 95% |
Highlight warning signs and problems (hypoglycemia or hyperglycemia symptoms) | 95% |
Discuss follow up appointments | 95% |
Educate the patient in plain language about condition (no medical jargon used) | 100% |
Assess patient understanding/patient teach back (asked patient to repeat back) | 70% |
Provide information in small chunks and repeat key pieces of information | 95% |