Cohen Michael D, Hilligoss P Brian
School of Information, Universityof Michigan, Ann Arbor, Michigan 48109-1107, USA.
Qual Saf Health Care. 2010 Dec;19(6):493-7. doi: 10.1136/qshc.2009.033480. Epub 2010 Apr 8.
In hospitals, handoffs are episodes in which control of, or responsibility for, a patient passes from one health professional to another, and in which important information about the patient is also exchanged. In view of the growing interest in improving handoff processes, and the need for guidance in arriving at standardised handoff procedures in response to regulatory requirements, an extensive review of the research on handoffs was conducted.
The authors have collected all research treatments of hospital handoffs involving medical personnel published in English through July 2008.
A review of this literature yields four significant
(1) the definition of the handoff concept in the literature is poorly delimited; (2) the meaning of 'to standardise' has not been developed with adequate clarity; (3) the literature shows that handoffs perform important functions beyond patient safety, but the trade-offs of these functions against safety considerations are not analysed; (4) studies so far do not fully establish that attempts at handoff standardisation have produced marked gains in measured patient outcomes.
The existing literature on patient handoffs does not yet adequately support either definitive research conclusions on best handoff practices or the standardisation of handoffs that has been mandated by some regulators.
在医院中，交接班是指患者的控制权或责任从一名医护人员转移至另一名医护人员的过程，在此过程中还会交流有关患者的重要信息。鉴于人们对改进交接班流程的兴趣日益浓厚，以及为响应监管要求制定标准化交接班程序需要指导，我们对有关交接班的研究进行了广泛综述。
作者收集了截至2008年7月以英文发表的所有涉及医务人员的医院交接班研究资料。
对该文献的综述得出了四点重要结论：（1）文献中交接班概念的定义界定不清；（2）“标准化”的含义尚未得到充分明确；（3）文献表明，交接班除了对患者安全具有重要作用外，还发挥着其他重要功能，但未分析这些功能与安全考量之间的权衡；（4）目前的研究尚未充分证实，交接班标准化的尝试已在可衡量的患者预后方面取得显著成效。
现有的关于患者交接班的文献，既无法充分支持有关最佳交接班实践的确切研究结论，也无法支持一些监管机构所要求的交接班标准化。
