Evidence-Based Practice Poster Session (Posters #21-#28)
27 - Enhancing Patient Recall of Anesthesia Side Effects with "Mugshots"
Description: Enhancing patient recall of anesthesia side effects with “Mugshots” Low patient satisfaction scores for education of anesthesia side effects/patient and family recall and comprehension of discharge instructions can be hampered by effects of anxiety and medication. Discharge phase is complex for patients in the perioperative experience. Surgical patients and families have many distractions, anesthetic medications cause some amnesia and family members focus on concern for patient. Hospitals track patient satisfaction with discharge process. Studies indicate enhanced methods for communication on specific postoperative care issues improves patient comprehension/recall of discharge instructions while increasing patient satisfaction. How can perioperative nurses improve education recall related to anesthesia side effects for patients in outpatient discharge area? The team brainstormed ways to educate patient that were meaningful and easily comprehended by a diverse population. In a study at St. David’s South Austin Medical Center in 2015, nurses implemented information labels called “mugshots” for patient drinking mugs. Mugshots remind patients of education related to medication side effects. The mugshots were combined with teach-back discussions. In this study patient satisfaction scores improved for three consecutive quarters. Additional evidence suggests the use of illustrations along with text and verbal communication to be useful regardless of education level and health literacy. To improve patient satisfaction scores on education for anesthesia side effects, the team took the mugshots to a higher level. Studies indicate that text paired with images has an additive effect and results in better recall than text alone. Using the drinking mugs provided for patients and affixing labels containing both text and pictures specific to the text is shown to increase patient recall. Studies indicate that evaluation of patient experience is a reliable quality improvement tool. Using evidence based strategies patient education and recall were improved. At Go-Live third quarter 2018 scores for patient satisfaction for question about “Anesthesia side effects easy to understand” was 82.8%. Scores improved for with the highest rating at 89.2% third quarter 2019. Barriers to recall are inherent in the perioperative environment. Proven educational concepts and communication enhancements improved patients’ ability to comprehend and discuss discharge information important to postoperative care. The mugshots enhancement improved patient experience and satisfaction. Ongoing feedback will be collected to continue to develop the effectiveness of this patient education tool. During the complex discharge phase, increased communication from all care providers has a positive impact on perception of care. Enhancing the verbal discharge instructions with text and pictures on a take home mug positively impacted patient experience/satisfaction scores.