+

Acknowledge

Introduce

Duration

Explanation

Thank You

A.I.D.E.T.
Emma Broussard
Jaclyn Hirohama
Michelle Marks
Sheryl Sato

Five Steps to Communication

+
What is AIDET?

AIDET is a communication framework created to help staff

communicate more efficiently with patients and with each
other, thereby resulting in higher patient satisfaction, and more
effective communication. Coupled with bedside rounding, it
keeps the patient informed and part of the care team.

A: Acknowledge

I: Introduction

D: Duration

E: Explanation

T: Thank you

+AIDET ROOT CAUSE ANALYSIS

WHAT? Patient is upset

because he had to wait
longer than he was told.
Nurse will revisit Patient
and update wait time.
WHY? All X-ray machines were
being used causing the Patient
to have to wait.
Equipment shortage? Purchase
more equipment.

WHERE?
Radiology
Only Radiology has Xray
HOW? machine.

WHEN? Tuesday. Wait

complaints every Tuesday.
Staffing issue? Increase staff on
Tuesday.

Major influences on the

priorities for quality
improvement
To improve clinical outcomes/ patients perception of
care

HCAHPS

Reimbursement

+
National Indicators

+
QI Tools needed for Root Cause
Analysis

Form panel of employees who experience issue with

AIDET.

Group discussion and census of problem occurrence.

Create flow chart of AIDET process at bedside rounding.

Identify problem.

Determine What Why Where How and When

Resolve corrective action.

+
Quality Improvement Tools and
Processes

Plan: Analyze existing

shift report
communication
Do: Implement
AIDET/bedside report
Study: Survey patients
and nurses on
satisfaction, monitor
sentinel events

+
Recommendations for
Improvement

Bedside rounding should be coupled with AIDET

Encourages the patient to be part of their own healthcare

solutions and healthcare team

Patients want to understand their care plan so they know what

to expect.

Bedside rounding also shows a degree of transparency that

patients crave

Managing Up during introductions

Incorporating family members in AIDET & bedside

rounding

Strong support from unit managers to foster AIDET

communication

+
Near Miss/Adverse Events

Joan Morris (a pseudonym) is a 67-year-old woman

admitted to a teaching hospital for cerebral
angiography. The day after that procedure, she
mistakenly underwent an invasive cardiac
electrophysiology study.

Reporting to the Joint Commission is voluntary; the

database contains 17 reports of an invasive procedure
done on the wrong patient over the past 7 years

Ms. Morris was a native English speaker and fully

coherent. Bedside rounding most likely could have
prevented this mistake.

+
Data on AIDET success and
implementation

+
References
TheOfficialU.S.GovernmentSiteforMedicare(2015).HospitalCompare.RetrievedFebruary15,2015,from
http://www.medicare.gov/hospitalcompare /
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Laws,D.,&Amato,S.(2010).IncorporatingBedsideReportingintoChangeofShiftReport.RehabilitationNursing,35(2),70
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AgencyforHealthcareResearchandQuality(AHRQ)PatientSafetyNetwork.PatientSafetyPrimer:TeamworkTraining.
Availableathttp://psnet.ahrq.govprimer.aspx?primerID=8
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St.ElizabethHealthcareUniversalFallProtection/PreventionProgramPolicy
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http://www.studergroup.com/Aidet/AIDETimplementationGuide
Sample.pdfTheJointCommission.TheJointCommissionComprehensiveAccreditationandCertificationManual,2012.
Chassin,M.,&Becher,E.(2002).Thewrongpatient.AnnalsofInternalMedicine,136(11),826833.
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ClinicalNursing,22,192200.
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CarolinasHealthcareSystem.(2012).Annualcontinuingeducationmodules:acultureofserviceexcellenceatCHS.Retrieved
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%20MODULE.pdf