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Abstract
The aim of this project was to determine if providing detailed education to healthcare providers using an evidence-based, standardized method of scripting would improve compliance with intentional hourly rounding [IHR], ultimately increasing patient satisfaction scores. A 24-bed acute care medical unit at a Magnet-designated, Midwestern pediatric tertiary care hospital implemented IHR scripting as an evidence-based quality improvement [QI] project. Healthcare provider compliance with IHR was measured for one year prior to the introduction of the QI project. In coordination with the unit's Partnership Council, all healthcare providers attended an educational session on keyword scripting for quality and consistency assurance of IHR. Compliance with IHR was measured during QI project implementation and two weeks post-completion of the educational scripting sessions. The QI project included a comparison of pre- and post-scripting audited date of healthcare provider compliance with IHR. Unit patient satisfaction scores were measured through the Hospital Consumer Assessment of Healthcare Providers and Systems [HCAHPS]. Satisfaction scores were assessed pre- and post-scripting to determine if patient satisfaction improved as a result of the QI project. Fifty-three healthcare providers were required to meet with a quality council mentor on an individualized basis to practice using the standardized, evidence-based scripting tool. Significant improvement in healthcare provider compliance with IHR was seen post-QI project. No evidence of statistically significant improvements in patient satisfaction occurred as a result of IHR compliance improvements.