Vollmer Anne-Maria, Skonetzki-Cheng Stefan, Prokosch Hans-Ulrich
Departmant of Medical Informatics, Friedrich-Alexander University, Erlangen, Germany.
Stud Health Technol Inform. 2013;192:1104.
Typically general wards and intensive care units (ICU) have very different labor organizations, structures and IT-systems in Germany. There is a need for coordination, because of the different working arrangements. Our team investigated the interface between ICU and general ward and especially the respective information transfer in the University hospital in Erlangen (Bavaria, Germany). The research team used a combination of interviews, observations and the analysis of transfer records and forms as part of a methodical triangulation. We identified 41 topics, which are discussed or presented in writing during the handover. In a second step, we investigate the requirements of data transmission in expert interviews. A data transfer concept from the perspective of the nurses and physicians was developed and we formulated recommendations for improvements of process and communication for this interface. Finally the data transfer concept was evaluated by the respondents.
在德国，普通病房和重症监护病房（ICU）的劳动组织、结构和信息技术系统通常有很大差异。由于工作安排不同，需要进行协调。我们的团队对埃尔朗根大学医院（德国巴伐利亚州）的ICU与普通病房之间的接口，特别是各自的信息传递进行了调查。研究团队采用访谈、观察以及对转诊记录和表格的分析相结合的方法，作为系统三角测量的一部分。我们确定了41个在交接过程中进行口头讨论或书面陈述的主题。第二步，我们在专家访谈中调查数据传输的要求。从护士和医生的角度制定了一个数据传输概念，并针对该接口的流程和沟通改进提出了建议。最后，由受访者对数据传输概念进行评估。
