Wohlauer Max
Department of Surgery, University of Colorado School of Medicine, 12631 E. 17th Ave., C302, Aurora, CO 80045, USA.
BMJ Qual Saf. 2012 Dec;21 Suppl 1:i16-8. doi: 10.1136/bmjqs-2012-001218.
The current challenge in surgical residency education, preserving a sense of accountability in an era of limited work hours and multiple transitions of care, can be accomplished through the promotion of effective handovers. Approaches include increasing the transparency of handovers, enhancing the 'situational awareness' of individuals involved, and incorporating narratives and social interactions, and expanding common ground among professionals who collectively have responsibility for patient care. Done well, handovers can preserve the physician-patient relationship and provide a continuity bridge during a vulnerable time for patients.
外科住院医师教育当前面临的挑战是，在工作时间有限且存在多次护理交接的时代保持责任感，这可以通过促进有效的交接班来实现。方法包括提高交接班的透明度，增强相关人员的“情景意识”，融入叙述和社交互动，以及在共同负责患者护理的专业人员之间拓展共识。做好交接班工作，可以维护医患关系，并在患者的脆弱时期搭建起连续性的桥梁。
