Improving Patient Handover from the Pediatric Emergency Department to the Pediatric Intensive Care Unit

Patient safety can be at risk during registered nurse handover, particularly when transitioning between high risk areas. According to The Joint Commission (2017), a standardized transition process should be implemented during patient handover. The purpose of this paper was to evaluate the effect of a standardized process with a cognitive aid on handover between a pediatric emergency department and an intensive care unit. Objectives of the project were to decrease conversion time in the emergency department, increase standardized process utilization, and improve patient outcomes, registered nurse perception and satisfaction, and patient proxy satisfaction. This evidence-based quality improvement project took place in a free-standing children’s hospital, and involved registered nurses (N=168) and patients. The Plan, Do, Study, Act model was utilized to direct change. Outcomes were evaluated using pre- and post-data collected from surveys, report reviews, and organizational reports. Implementation of a standardized process with a cognitive aid had a statistically significant impact on use of the standardized handover process and registered nurse satisfaction without increasing transition time. Sustained increase in compliance with the process was achieved with use of the cognitive aid. Improvement was attributed to multiple, evidence-based, and tailored implementation strategies. Implementation of a cognitive aid within an established workflow and compliance tracking is likely to increase and sustain use of the standardized transition process during patient handover and improve registered nurse satisfaction

Why Did You Publish That? How University Presses and Library Publishers Choose their Projects

Library and university-press publishers are driven by two different but overlapping missions. Libraries publish as an extension of their traditional function of preserving and disseminating knowledge. University presses are also tasked with distributing knowledge, but through peer review, they are engaged with what Martin Eve at last year’s meeting called the “symbolic economy of prestige.” Both are constrained by financial forces and the marketplace. This panel examines how and why different publishers select projects, and how each group decides where to invest its scarce resources. It also addresses how campus hierarchies affect these choices, especially when a university’s press and library are institutionally connected. The participants will include both library and university-press publishers, representing a range of reporting relationships on their campuses. Each panelist will respond to questions from the moderator, followed by what we hope will be lively questions from the floor. The conversation should shed light on the strategic priorities that drive our publishing decisions, as well as how we can most effectively cooperate

Why Did You Publish That? How University Presses and Library Publishers Choose their Projects

Library and university-press publishers are driven by two different but overlapping missions. Libraries publish as an extension of their traditional function of preserving and disseminating knowledge. University presses are also tasked with distributing knowledge, but through peer review, they are engaged with what Martin Eve at last year’s meeting called the “symbolic economy of prestige.” Both are constrained by financial forces and the marketplace. This panel examines how and why different publishers select projects, and how each group decides where to invest its scarce resources. It also addresses how campus hierarchies affect these choices, especially when a university’s press and library are institutionally connected. The participants will include both library and university-press publishers, representing a range of reporting relationships on their campuses. Each panelist will respond to questions from the moderator, followed by what we hope will be lively questions from the floor. The conversation should shed light on the strategic priorities that drive our publishing decisions, as well as how we can most effectively cooperate