Ellul D, Robson A K
ENT Department, Southern General Hospital, Glasgow, Scotland, UK.
J Laryngol Otol. 2011 Sep;125(9):924-7. doi: 10.1017/S0022215111000880. Epub 2011 Jun 10.
To analyse the completeness and accuracy of the written handover in our ENT department, in line with Royal College of Surgeons of England guidance, and to improve standards.
University Hospital, Cumberland Infirmary, Carlisle, UK.
We prospectively analysed the written handover over two periods (of 30 and 18 days each). In the first period, the morning handover was present and complete on 77 per cent of days, present but incomplete or illegible on 6 per cent of days, and absent on 17 per cent of days; the evening handover was present and complete on 30 per cent of days, and absent on 67 per cent of days. To improve standards, we emphasised the importance of accurate handover to the ENT team and to junior doctors who cross-covered ENT. A reminder of the Royal College of Surgeons of England guidance was included in the handover book, and junior doctors received regular feedback.
We demonstrated a substantial improvement in the quality and completeness of written handover, comparing the second and first audit periods.
根据英国皇家外科医学院的指导意见，分析我院耳鼻喉科书面交接班的完整性和准确性，并提高标准。
英国卡莱尔市坎伯兰医院大学医院。
我们前瞻性地分析了两个时间段（各30天和18天）的书面交接班情况。在第一个时间段，晨间交接班在77%的日子里存在且完整，在6%的日子里存在但不完整或字迹模糊，在17%的日子里缺失；晚间交接班在30%的日子里存在，在67%的日子里缺失。为提高标准，我们向耳鼻喉科团队和跨科室负责耳鼻喉科工作的初级医生强调了准确交接班的重要性。交接班手册中包含了英国皇家外科医学院指导意见的提醒内容，初级医生也定期收到反馈。
与第一次审核期相比，我们发现书面交接班的质量和完整性有了显著提高。
