Whiteboard Use in Labor and Delivery: A Tool to Improve Patient Knowledge of the Name of the Delivery Provider and Satis
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Whiteboard Use in Labor and Delivery: A Tool to Improve Patient Knowledge of the Name of the Delivery Provider and Satisfaction with Care Verónica Maria Pimentel1 · Mengyang Sun1 · Peter S. Bernstein1 · Myriam Ferzli1 · Mimi Kim2 · Dena Goffman3
© Springer Science+Business Media, LLC, part of Springer Nature 2018
Abstract Introduction The impact of whiteboard use in labor rooms has not previously been studied. This quality improvement study aimed to evaluate patient knowledge of their delivering physician’s name and the change in patient satisfaction after the implementation of a whiteboard in labor rooms. Methods A multidisciplinary team designed a dry-erase whiteboard prompting care providers to record their names, roles and patient care information. A questionnaire was administered to patients before and after the whiteboard implementation. Patients who had a planned cesarean or vaginal birth within 1 h of admission were excluded. Categorical variables were compared using Chi square and Fisher’s exact tests. A multivariable logistic regression was performed to control for confounders. Results 191 patients completed the questionnaires. Although patients were not randomized, the pre-and post-intervention groups were similar. Post-intervention, we found a significant increase in recalling the delivery resident’s name [21/101 (20.8%) vs. 33/90 (36.7%), p = 0.016] and a non-significant increase in recalling the name of the attending and nurse [19/101 (18.8%) vs. 23/90 (25.6%), p = 0.296; 46/101 (45.5%) vs. 53/90 (58.9%), p = 0.082]. Post-intervention, patient satisfaction with care was significantly higher [83/101 (82.2%) vs. 83/89 (93.3%), p = 0.028]. Knowledge of the delivery resident’s name was associated with higher patient satisfaction [115/137 (84%) vs. 51/53 (96%), p = 0.03] and attendance of the postpartum care visit [50.4% (69/137) vs. 64.8% (35/54), p = 0.049]. Discussion The use of a well-designed whiteboard increases laboring patients’ knowledge of their delivery physician’s name and may improve patient satisfaction with care on Labor and Delivery. Keywords Whiteboard · Physician’s name · Resident’s name · Patient satisfaction · Labor and delivery
Significance What is already known on this subject? Whiteboard use in other disciplines has been shown to improve patient knowledge of physician’s name and patient satisfaction. Patient * Verónica Maria Pimentel [email protected] 1
Department of Obstetrics & Gynecology and Women’s Health, Albert Einstein College of Medicine/Montefiore Medical Center, 1825 Eastchester Rd, Bronx, NY 10461, USA
2
Department of Epidemiology and Population Health, Albert Einstein College of Medicine, 1300 Morris Park Avenue, Bronx, NY 10461, USA
3
Department of Obstetrics and Gynecology, Columbia University Medical Center, 3959 Broadway, CHC 114D, New York, NY 10032, USA
satisfaction is paramount to patient-centered care and may translate into improved patient outcomes. What this study adds? This is the first published report that shows the effect of the use
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