title: Improved perception of communication and compliance with a revised, intensive care unit-specific bedside communication sheet.
abstract: Although many pediatric intensive care units (PICUs) use beside communication sheets (BCSs) to highlight daily goals, the optimal format is unknown. A site-specific BCS could improve both PICU communication and compliance completing the BCS. Via written survey, PICU staff at an academic children's hospital provided recommendations for improving and revising an existing BCS. Pre- and post-BCS revision, PICU staff were polled regarding PICU communication and BCS effectiveness, and daily compliance for completing the BCS was monitored. After implementation of the revised BCS, staff reporting "excellent" or "very good" day-to-day communication within the PICU increased from 57% to 77% (P = .02). Compliance for completing the BCS also increased significantly (75% vs 83%, P = .03). Introduction of a focused and concise BCS tailored to a specific PICU leads to improved perceptions of communication by PICU staff and increased compliance completing the daily BCS.
authors.affiliation: Pediatric Critical Care Medicine, Department of Pediatrics, Morgan Stanley Children's Hospital, Columbia University Medical Center, Columbia University College of Physicians and Surgeons, New York, NY la2423@columbia.edu.
authors.forename: Linda
authors.initials: L
authors.lastname: Aponte-Patel
authors.affiliation: Pediatric Critical Care Medicine, Department of Pediatrics, Morgan Stanley Children's Hospital, Columbia University Medical Center, Columbia University College of Physicians and Surgeons, New York, NY.
authors.forename: Anita
authors.initials: A
authors.lastname: Sen
mesh_terms: D001291:Attitude of Health Personnel; D003142:Communication; D006801:Humans; D015278:Intensive Care Units, Pediatric / Q000458:organization & administration* / Q000706:statistics & numerical data*; D009726:Nurses; D010348:Patient Care Team / Q000458:organization & administration; D010465:Perception; D010561:Personnel Staffing and Scheduling; D010820:Physicians
keywords: communication; daily goals sheet; intensive care unit; patient care planning; pediatrics