School of Information, University of Michigan, 3442 North Quad, 105 South State Street, Ann Arbor, MI 48109-1285, USA.
Crit Care. 2012 Feb 8;16(1):303. doi: 10.1186/cc10536.
Hospital handoffs are believed to be a key locus of communication breakdown that can endanger patient safety and undermine quality of care. Substantial new efforts to better understand handoffs and to improve handoff practices are under way. Many such efforts appear to be seriously hampered, however, by an underlying presumption that the essential function of a handoff is one-way information transmission. Here, we examine social science literature that supports a richer framing of handoff conversations, one that characterizes them as co-constructions of an understanding of the patient.
医院交接班被认为是沟通失败的一个关键环节,可能危及患者安全并影响医疗质量。目前正在进行大量新的努力,以更好地理解交接班并改进交接班做法。然而,许多此类努力似乎严重受到以下假设的阻碍,即交接班的基本功能是单向信息传递。在这里,我们研究了支持更丰富的交接班对话框架的社会科学文献,该框架将其描述为对患者理解的共同构建。