Improving the quality and timeliness of neonatal intensive care unit discharge note: A quality improvement project

Abstract

Objective: Due to a delay in the discharge process because of an incomplete auto-population of discharge notes (DN), we undertake this quality improvement (QI) project to expedite the discharge process from our neonatal intensive care unit (NICU) and increase provider's satisfaction levels. Materials and Methods: Plan, Do, Study, Act cycles, surveys, and feedback approaches were adopted to see the reasons behind incomplete DN and appreciated ideas to improve them. The project was started in January 2021 and completed on October 31, 2021. Results: After introducing sections of DN in admission and daily progress notes in distinctive font colors, we improved the DN' readiness as the discharge date from NICU approached. Adopting this methodology resulted in improved provider satisfaction, patient care, and other educational sessions attendances. Conclusions: Delays in the discharge process not only affect admission and referrals but also cause dissatisfaction among various providers. A QI approach with measures implemented within the existing system significantly improves the discharge process and provider's satisfaction in the local NICU.