评估麻醉护理人员之间交接班的安全性。

Evaluating safety of handoffs between anesthesia care providers.

作者信息

Jayaswal Shivani, Berry Laura, Leopold Rhonda, Hart Stuart R, Scuderi-Porter Heather, Digiovanni Neil, Phillips Austin

机构信息

Department of Anesthesiology, Ochsner Clinic Foundation, New Orleans, LA.

出版信息

Ochsner J. 2011 Summer;11(2):99-101.

PMID:21734846

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3119230/

Abstract

BACKGROUND

Anesthesia care providers frequently exchange care of patients among one another. This daily process of information exchange could be a potential source for adverse events.

OBJECTIVES

Our objectives were to determine if the current handoff system is ineffective and if more standardized methods available for the exchange of patient information could improve the effectiveness of handoffs.

METHODS

We distributed a survey to all anesthesia staff, residents, and nurse anesthetists. The survey queried the following: handoff adequacy, location for best handoff, method for best handoff, and need for inclusion in the electronic medical record.

RESULTS

We received 80 completed initial surveys from anesthesia staff, residents, and nurse anesthetists. Of those surveyed, 20% found the existing handoff process inadequate. Most reported both giving and receiving a poor or incomplete handoff within the previous year (84% and 57%, respectively), and 25% related an adverse outcome to a poor handoff. An overwhelming majority, 89%, felt that standardization of this process could improve patient care; 68% reported that ideal handoffs would occur in the record, as well as in person; and 62% believed that handoffs should be incorporated into the electronic medical record.

CONCLUSIONS

These data will be used to improve the method of the patient care handoff and have assisted us in devising techniques that can be incorporated into daily practice, advancing the safety of handoffs and decreasing complications. A handoff screen has been included on the electronic anesthesia record, encouraging a more formalized procedure for handoffs, thereby promoting patient safety.

摘要

背景

麻醉护理人员经常相互交接患者护理工作。这种日常的信息交换过程可能是不良事件的潜在来源。

目的

我们的目的是确定当前的交接班系统是否无效，以及更标准化的患者信息交换方法是否可以提高交接班的有效性。

方法

我们向所有麻醉科工作人员、住院医师和麻醉护士发放了一份调查问卷。该调查询问了以下内容：交接班的充分性、最佳交接班地点、最佳交接班方法以及纳入电子病历的必要性。

结果

我们收到了麻醉科工作人员、住院医师和麻醉护士的80份完整初始调查问卷。在接受调查的人员中，20%的人认为现有的交接班流程不充分。大多数人报告说，在过去一年中，自己进行的交接班和收到的交接班都很差或不完整（分别为84%和57%），25%的人将不良后果与交接不佳联系起来。绝大多数人（89%）认为该流程的标准化可以改善患者护理；68%的人报告说，理想的交接班应该在记录中以及当面进行；62%的人认为交接班应该纳入电子病历。