Popovich Debbie
University of Florida College of Nursing, Gainesville, USA.
Pediatr Nurs. 2011 Mar-Apr;37(2):55-9.
Efforts to improve handoff practices among providers during shift changes are needed to augment patient safety, particularly among pediatric patients. To this aim, nurse faculty developed and enhanced a tool to standardize a thinking process for students during their pediatric clinical experience. The 30-Second Head-to-Toe checklist allows for rapid assessment of a child's condition and environment. It offers both students and nurses a consistent system for reducing errors attributable to incomplete or inaccurate information during this critical transition. Students completed checklists for 352 pediatric patients over a period of two years. Identified discrepancies were analyzed. Findings confirmed the importance of a standardized system during shift changes to reduce errors and achieve accurate, consistent communication. Students also reported that using the tool and reviewing it with instructors helped them overcome initial feelings of anxiety and fostered confidence.
为了提高患者安全性，尤其是儿科患者的安全性，需要努力改善医护人员交接班时的交接流程。为此，护理教员开发并改进了一种工具，以规范学生在儿科临床实习期间的思维过程。30秒从头到脚检查清单可快速评估儿童的病情和环境。它为学生和护士提供了一个一致的系统，以减少在这一关键过渡期间因信息不完整或不准确而导致的错误。在两年的时间里，学生们为352名儿科患者填写了检查清单。对发现的差异进行了分析。研究结果证实了在交接班期间采用标准化系统以减少错误并实现准确、一致沟通的重要性。学生们还报告说，使用该工具并与教员一起复习有助于他们克服最初的焦虑情绪并增强信心。
