Sadideen Hazim, Hamaoui Karim, Saadeddin Munir, Cogswell Lucy, Goodacre Tim, Jefferis Tony
Department of Plastic and Reconstructive Surgery, Queen Elizabeth Hospital, University Hospitals Birmingham NHS Foundation Trust, Birmingham, United Kingdom.
Department of Renal Medicine and Transplantation, Hammersmith Hospital, London, Du Cane Road, London, United Kingdom.
J Educ Eval Health Prof. 2014 Feb 28;11:3. doi: 10.3352/jeehp.2014.11.3.
To date no studies have specifically evaluated the use of handovers amongst core surgical trainees (CSTs) in the United Kingdom. We examined handover practice at the Oxford School of Surgery to assess and improve CSTs'perception of handover use as well as its quality, and ultimately patient care.
Based on guidelines published by the British Medical Association and Royal College of Surgeons, a 5-point Likert style questionnaire that collected data on handover practice, its educational value, and the CSTs'satisfaction with handover was given to 50 CSTs in 2010.
Forty CSTs (80.0%) responded to the questionnaire. The most striking findings revolved around the perceived educational value, formal training, and auditing practice of handovers throughout various units, which were all remarkably lower than expected. As a result, handover practice amongst CSTs was targeted and revised at the University Hospital's Department of Plastic Surgery, with the implementation of targeted changes to improve handover practice.
The execution of daily handovers was an underused educational tool amongst surveyed CSTs and may be an important modality to target, particularly in the competency-based, time-limited training CSTs receive. We recommend modifications to current practice based on our results and the literature and encourage the assessment of handover practice at other institutions.
迄今为止，尚无研究专门评估英国核心外科住院医师（CSTs）之间交接班的使用情况。我们对牛津外科医学院的交接班实践进行了调查，以评估并改善CSTs对交接班使用情况及其质量的认知，最终改善患者护理。
根据英国医学协会和皇家外科医师学院发布的指南，2010年向50名CSTs发放了一份5级李克特式问卷，收集有关交接班实践、其教育价值以及CSTs对交接班满意度的数据。
40名CSTs（80.0%）回复了问卷。最显著的发现围绕着各科室对交接班的感知教育价值、正规培训和审核实践，这些均明显低于预期。因此，大学医院整形外科对CSTs的交接班实践进行了针对性调整和修订，并实施了有针对性的变革以改善交接班实践。
在接受调查的CSTs中，日常交接班的执行是一种未得到充分利用的教育工具，可能是一个需要重点关注的重要方式，尤其是在CSTs接受的基于能力、有时间限制的培训中。我们建议根据我们的研究结果和文献对当前实践进行改进，并鼓励其他机构对交接班实践进行评估。
