University College Cork, Cork, Ireland.
Ir J Med Sci. 2011 Mar;180(1):27-30. doi: 10.1007/s11845-010-0627-7.
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.
The purpose of this study was to evaluate the prevalence, format and structure of formal handover rounds in Irish hospitals in four different specialties.
A 26-item questionnaire was sent to 61 participants in 26 hospitals.
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.
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.
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。
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。
向 26 家医院的 61 名参与者发送了一份 26 项的调查问卷。
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。
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。