Gardiner Therese M, Marshall Andrea P, Gillespie Brigid M
Gold Coast University Hospital, D.5 090, 1 Hospital Boulevard, Queensland 4215, Australia.
Gold Coast University Hospital, D.5 090, 1 Hospital Boulevard, Queensland 4215, Australia; Menzies Health Institute Queensland, Griffith University, Australia; NHMRC Centre of Research Excellence in Nursing, Griffith University, Australia.
Aust Crit Care. 2015 Nov;28(4):226-34. doi: 10.1016/j.aucc.2015.02.001. Epub 2015 Mar 19.
The clinical handover of critically ill postoperative patients from the operating theatre to the intensive care unit is a dynamic and complex process that can lead to communication and technical errors. The objectives of this integrative review were to illustrate how the use of structured handover processes between the operating theatre and intensive care unit impacts information transfer, handover duration, post-handover technical error and high risk events.
Integrative review methodology was used to allow for the inclusion of broad research designs, summarising current knowledge from existing research and identify gaps in the literature.
A systematic search of electronic databases including the Cumulative Index to Nursing and Allied Health Literature (CINAHL), Cochrane library, Embase, ProQuest central and PubMed were performed. Original research articles, in either adults or paediatrics, specific to handover between an operating theatre and intensive care unit were included.
Data extracted from studies included country of origin, sample size, number of hospital sites, study design, study aim, measures, key findings and limitations. The quality of the integrative review articles was assessed against the 'Standard Quality Assessment Criteria for Evaluating Primary Research Papers'.
Ten articles meeting the inclusion criteria were included in the final analysis. Information transfer, post-handover technical errors and high risk events were positively influenced by the use of structured clinical handover tools. Handover duration did not change when using structured handover protocols.
The body of literature on clinical handover between operating theatre and the intensive care unit is in its early stages of development. Future research using rigorous study designs, broader populations and varied surgical procedures are needed to further evaluate the effect of clinical handover protocols.
危重症术后患者从手术室到重症监护病房的临床交接是一个动态且复杂的过程，可能导致沟通和技术失误。本整合性综述的目的是阐明手术室与重症监护病房之间使用结构化交接流程如何影响信息传递、交接时长、交接后技术失误及高风险事件。
采用整合性综述方法，以纳入广泛的研究设计，总结现有研究的当前知识并找出文献中的空白。
对电子数据库进行系统检索，包括护理及相关健康文献累积索引（CINAHL）、考克兰图书馆、Embase、ProQuest中央数据库和PubMed。纳入了针对手术室与重症监护病房之间交接的成人或儿科原始研究文章。
从研究中提取的数据包括原产国、样本量、医院地点数量、研究设计、研究目的、测量方法、主要发现和局限性。根据“评估原发性研究论文的标准质量评估标准”对整合性综述文章的质量进行评估。
最终分析纳入了10篇符合纳入标准的文章。结构化临床交接工具的使用对信息传递、交接后技术失误和高风险事件有积极影响。使用结构化交接方案时，交接时长没有变化。
关于手术室与重症监护病房之间临床交接的文献尚处于发展初期。需要未来采用严谨研究设计、更广泛人群和多种外科手术的研究来进一步评估临床交接方案的效果。
