Watkins Linda M, Patrician Patricia A
G. V. (Sonny) Montgomery VA Medical Center, Jackson, Mississippi (Dr Watkins); and University of Alabama at Birmingham School of Nursing (Dr Patrician).
Adv Emerg Nurs J. 2014 Jan-Mar;36(1):44-51. doi: 10.1097/TME.0000000000000003.
Handoff communication deficiencies between the emergency department (ED) and primary care have been recognized as the result of delays and/or omissions in follow-up care for patients. This quality improvement project addresses the gaps in follow-up care for patients with low-risk chest pain by implementing an electronic Emergency Provider Written Plan of Discharge (eEPWPD) template to notify primary care providers (PCPs) that follow-up care is needed for their patients. This retrospective study evaluated effectiveness of the template in providing additional diagnostic and follow-up care. Results indicated that following the implementation of the eEPWPD template, follow-up for this population increased significantly. This study provides evidence that standardizing handoff communication from the ED to PCP can improve the quality of patient care by ensuring timely diagnostic and follow-up care.
急诊科（ED）与初级保健之间的交接班沟通不足已被认为是患者后续护理延迟和/或遗漏的结果。本质量改进项目通过实施电子急诊提供者出院书面计划（eEPWPD）模板来解决低风险胸痛患者后续护理方面的差距，该模板用于通知初级保健提供者（PCP）其患者需要进行后续护理。这项回顾性研究评估了该模板在提供额外诊断和后续护理方面的有效性。结果表明，在实施eEPWPD模板后，该人群的后续护理显著增加。本研究提供了证据，证明将急诊科与初级保健提供者之间的交接班沟通标准化可以通过确保及时的诊断和后续护理来提高患者护理质量。
