| Sumario: | Significance & Background: Ineffective handoffs lead to almost 80% of medical errors. Inadequate handoffs can lead to delayed treatment, omissions in care, in-appropriate treatments, increased length of stay, re- admissions, and increased healthcare costs. Purpose: Our organization began implanting HAI pumps within the last year. This group of patients receives care through multiple specialties and requires significant care coordination between clinics, interventional radiology, surgery, pharmacy, infusion and inpatient. An interdisciplinary group was formed to arrange the logistics of this care. The first few patients started and care was very well coordinated. As additional providers began ordering pumps, coordination between teams decreased. The outpatient clinics decided to create standard work instructions (SWI) on how to manage HAI patients and coordinate their care across the cancer center. Interventions: The SWI was created so all departments are aware of each other's responsibilities. To help coordinate the care, the outpatient nurses serve as navigators. They create follow-up tasks in the EHR to track each step of the process. An FYI flag is put into the EHR to alert team members to schedule these patients in the morning so all resources are in-house to manage any pump issues. Finally, to streamline communication, an email distribution list was created to include all the relevant departments. Results: The SWI is new, so the team will monitor de-lays in care and other issues for the next 5 patients. Staff in each area like understanding all the moving parts and areas that are involved in HAI pump care. They feel this will help with coordination of care going forward. The distribution list has consolidated communication and created shared ownership of the care of patients with HAI pumps. The follow-up tasks in the EHR have helped the clinic nurses keep care moving and make sure that nothing falls through the cracks Discussion: Oncology patients often receive care from multiple MDs and areas of the cancer center. HAI pump patients need even more coordination of care or navigation through the system to make sure that their care stays on track. For future high need patient groups the team has decided to create SWIs at the beginning of the process before patients are seen for care to make sure every area is aware of their portion of care. This will make sure nothing falls through the cracks.
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