Disclosures: Renae R. Fisher, MD: Nothing to disclose

Objective: We aimed to reduce the number of non-urgent overnight pages from nursing staff to home call Physical Medicine and Rehabilitation resident physicians between the hours of 11pm to 6am to improve handoffs, patient care and resident sleep practices.

Design: A prospective Quality Improvement study.

Setting: University teaching hospital with an inpatient rehabilitation unit.

Participants: Physical Medicine and Rehabilitation residents working home call for 3 teaching services.

Interventions: Residents held a meeting first with nursing supervisors and then overnight nurses to disseminate information regarding content and hourly distribution of pages. The home call resident schedule without a post-call day was explained. Nurses were urged to page before 11pm or after 6am for non-urgent matters and examples of urgency were discussed. A full patient list was printed each night and kept at the nursing station for nurses to record non-urgent concerns for the day team.

Main Outcome Measures: Decrease in non-urgent pages between 11pm-6am

Results: A linear mixed model showed the effect of the intervention was significant. There was a decrease of both total and non-urgent pages between 11pm-6am with the most common hour to be paged changing from 11pm before intervention to 9pm after intervention.

Conclusions: Having a resident and nursing staff meeting to communicate paging expectations and use of an overnight paper patient list to collect non-urgent nursing concerns for hand-offs can significantly reduce the number of total and non-urgent nursing pages overnight.

Level of Evidence: Level III

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PM&R Meeting Abstracts - https://pmrjabstracts.org/abstract/getting-on-the-same-page-a-quality-improvement-project-to-reduce-overnight-nursing-to-resident-physician-pages-in-an-inpatient-rehabilitation-unit/