Horn J, Bell M D D, Moss E
The General Infirmary at Leeds, Great George Street, Leeds LS1 3EX, UK.
Anaesthesia. 2004 Jul;59(7):658-63. doi: 10.1111/j.1365-2044.2004.03760.x.
Anaesthesia is a critical and complex process that extends from the pre-operative assessment through to the postoperative management of patients. Handover of responsibility for logistical as opposed to patient-orientated reasons may compromise that process of care. If such handover becomes inevitable with shift-based patterns of working, the implications need to be considered and procedures developed in order to minimise adverse consequences. This survey of national practice reveals little formalisation of procedure and a spectrum of opinion on the relevance of the key considerations. There is, however, a majority view amongst respondents that national guidelines would be of value and that professional defensibility would be aided by standardisation and documentation of any handover.
麻醉是一个关键且复杂的过程，涵盖从患者术前评估直至术后管理。因后勤而非以患者为导向的原因进行责任交接，可能会损害这一护理过程。如果在基于轮班的工作模式下，这种交接变得不可避免，那么就需要考虑其影响并制定相应程序，以尽量减少不良后果。这项对全国实践的调查显示，程序几乎没有正式化，对于关键考量因素的相关性存在一系列观点。然而，在受访者中，多数人认为国家指南会有价值，并且任何交接的标准化和记录将有助于职业辩护。
