Voalte System

Transition from Unidirectional to Bidirectional
Text Paging System with Use of Voalte System

The Voalte system has been in place as a text

paging system since it was purchased by Hill-

Rom in 2018. It’s highly affective and reliable for

communication. It offers real-time tracking,

phone calls, and text messages all within

compliance of HIPAA.

Why is this an issue?

– Unidirectional paging systems lack standardization and

do not indicate level of urgency. Communication

errors are the most common cause of preventable errors

related to critical labs, patients, and how long it takes for

providers to assess the patients in a timely manner.  

– The Joint Commission currently identifies

communication failure as one of the most common causes

of sentinel events. 

815 Infographic

Dallas Foley

Transition to secure text messaging
system as a bidirectional method of
communication within the acute care
setting, in comparison to unidirectional
traditional paging systems to improve
nursing and staff satisfaction and patient
outcomes, resulting in a decrease in
patient delay of care.

In review of over 14,000 hospital admissions,

communication problems were found to be the

most common cause of preventable errors. 

It is not routine to address the paging

systems on an annual basis. Little to no

feedback is acquired from

administrative personnel. The goal of

this intervention is to improve

satisfaction with caregivers on all levels

with a specific mean of communication

AND to improve patient care and



Quality Improvement

Approach to risk


In a breakdown of malpractice issues in the

Emergency Department, 12% of cases were due

to communication errors and 9% were related to

delay of care. 

P: Survey – Ideas regarding what current changes caregivers in

the acute care setting would like to see regarding change.

What is the current favored method of communication? Have

they experienced any sentinel events d/t lack of


D: Test the theory for areas of improvement (Cycle 2). Educate

staff members about opportunities for improvement. 

S: Direct observation of nursing staff within ICU.

A: Follow one nurse, one provider, and one patient during shift.

Observe and take notice of communication methods and time

it takes for response. 

1PDSA Cycle

2PDSA Cycle
P:  Does a bidirectional secure messaging system help to
prevent and reduce the number of communication errors?

Discuss with 3 RNs, 2 MDs, 1 RT, 1 PCA

D: 3/3 RNs, 1/2 MDs, 1/1 RT, and 1/1 PCA were open to the

idea. There was hesitancy related to resistance to change. 

S: Informational documents to include purpose, statistics, and

pictures were helpful to staff members. 

A:  Open the discussion to more staff members within the ICU. 

Gather baseline data from

nurses, techs, providers, midlevel

providers, therapists regarding

current satisfaction in paging



Disperse informational

documents to ICU stOriginal work, cite, reference, no plagiarism

I provided an example of how it should look

Phase 3 will focus on your communication about your PDSA project.  To begin this, review and download the application PiktoChart from your App Store, the initial subscription is free for 30 days. Review the site and begin considering how you will visually display your processes, population and findings from the 3-cycles of your project.  
You will use PiktoChart to create an Inforgraphic that shares your PDSA findings.

To achieve a successful grade in this assignment you should find a means of displaying within the infographic the following:
· Visual representation of the PDSA Model
· PICOT question is stated
· Evidence- based documentation summary/synthesis is provided
· What h
appened and what 
was changed in your 3-cycles of review

· What was the quantitative/qualitative data (no matter how small)
· Show a summary/graphic of your findings
· Benchmark comparisons for your performance measures
· Provide recommendations
· Discuss next steps
· Infographic is clear, educational, evidence driven
· Include appropriate citations using APA Style format.
Apply creativity to communicate visually your PDSA findings.

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