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爱尔兰医院的交接班环节。

Handover rounds in Irish hospitals.

机构信息

University College Cork, Cork, Ireland.

出版信息

Ir J Med Sci. 2011 Mar;180(1):27-30. doi: 10.1007/s11845-010-0627-7.

DOI:10.1007/s11845-010-0627-7
PMID:21061086
Abstract

BACKGROUND

With the increasing complexities in medicine and the reduction in working hours, shift work patterns are emerging for hospital doctors and with them the possibility for discontinuity of patient care and negative outcomes for patient safety.

AIMS

The purpose of this study was to evaluate the prevalence, format and structure of formal handover rounds in Irish hospitals in four different specialties.

METHODS

A 26-item questionnaire was sent to 61 participants in 26 hospitals.

RESULTS

Just over a quarter of respondents (28%) reported formal handover rounds. Respondents from Obstetrics and Gynaecology were more likely to report handover rounds (80%). Prominent features of handover include frequent consultant (100%) and post-call staff (73%) attendance.

CONCLUSION

This study confirms that handover rounds are not universal in Irish hospitals. While this does not imply that patient safety is compromised, the need for effective and comprehensive handover is a critical aspect of patient care.

摘要

背景

随着医学的日益复杂和工作时间的减少,医院医生开始采用轮班工作模式,随之而来的是患者护理的不连续性和患者安全的负面后果的可能性。

目的

本研究旨在评估爱尔兰四家不同专业医院正式交接班轮次的流行程度、形式和结构。

方法

向 26 家医院的 61 名参与者发送了一份 26 项的调查问卷。

结果

超过四分之一的受访者(28%)报告了正式的交接班轮次。来自妇产科的受访者更有可能报告交接班(80%)。交接班的突出特点包括频繁的顾问(100%)和值班后工作人员(73%)的出勤。

结论

本研究证实,交接班轮次在爱尔兰医院并非普遍存在。虽然这并不意味着患者安全受到了损害,但有效的、全面的交接班是患者护理的一个关键方面。

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1
Handover rounds in Irish hospitals.爱尔兰医院的交接班环节。
Ir J Med Sci. 2011 Mar;180(1):27-30. doi: 10.1007/s11845-010-0627-7.
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引用本文的文献

1
Implementing an electronic clinical handover system in a university teaching hospital.在一家大学教学医院实施电子临床交接班系统。
Ir J Med Sci. 2018 May;187(2):309-312. doi: 10.1007/s11845-017-1699-4. Epub 2017 Oct 23.

本文引用的文献

1
Electronic software significantly improves quality of handover in a London teaching hospital.电子软件显著提高了伦敦教学医院的交接班质量。
Health Informatics J. 2009 Sep;15(3):191-8. doi: 10.1177/1460458209337431.
2
A national survey of medical morning handover report in Australian hospitals.
Med J Aust. 2007 Aug 6;187(3):164-5. doi: 10.5694/j.1326-5377.2007.tb01176.x.
3
Managing discontinuity in academic medical centers: strategies for a safe and effective resident sign-out.管理学术医疗中心的交接工作:安全有效的住院医师交班策略
J Hosp Med. 2006 Jul;1(4):257-66. doi: 10.1002/jhm.103.
4
Communication failures in patient sign-out and suggestions for improvement: a critical incident analysis.患者交班过程中的沟通失误及改进建议:一项重大事件分析
Qual Saf Health Care. 2005 Dec;14(6):401-7. doi: 10.1136/qshc.2005.015107.
5
Lost in translation: challenges and opportunities in physician-to-physician communication during patient handoffs.翻译中的迷失:患者交接过程中医师间沟通的挑战与机遇
Acad Med. 2005 Dec;80(12):1094-9. doi: 10.1097/00001888-200512000-00005.
6
The human factor: the critical importance of effective teamwork and communication in providing safe care.人为因素:有效团队合作与沟通在提供安全护理方面的至关重要性。
Qual Saf Health Care. 2004 Oct;13 Suppl 1(Suppl 1):i85-90. doi: 10.1136/qhc.13.suppl_1.i85.
7
Residents' suggestions for reducing errors in teaching hospitals.住院医师对减少教学医院差错的建议。
N Engl J Med. 2003 Feb 27;348(9):851-5. doi: 10.1056/NEJMsb021667.
8
The personal digital assistant, a new medical instrument for the exchange of clinical information at the point of care.个人数字助理,一种用于在医疗现场交换临床信息的新型医疗器械。
Med J Aust. 2001;175(11-12):659-62. doi: 10.5694/j.1326-5377.2001.tb143768.x.
9
The effect of fatigue, sleep deprivation and onerous working hours on the physical and mental wellbeing of pre-registration house officers.疲劳、睡眠剥夺和繁重工作时间对预注册住院医师身心健康的影响。
Ir J Med Sci. 1998 Jan-Mar;167(1):22-5. doi: 10.1007/BF02937548.
10
Does housestaff discontinuity of care increase the risk for preventable adverse events?住院医师护理的间断会增加可预防不良事件的风险吗?
Ann Intern Med. 1994 Dec 1;121(11):866-72. doi: 10.7326/0003-4819-121-11-199412010-00008.