Foronda Cynthia, VanGraafeiland Brigit, Quon Robert, Davidson Patricia
Johns Hopkins University School of Nursing, 525N. Wolfe St., Suite 414, Baltimore, MD 21205, USA.
Johns Hopkins University, School of Nursing, 525N. Wolfe St., Suite 415, Baltimore, MD 21205, USA.
Int J Nurs Stud. 2016 Oct;62:207-25. doi: 10.1016/j.ijnurstu.2016.07.020. Epub 2016 Jul 28.
The handover and transport of critically ill pediatric patients requires communication amongst multiple disciplines. Poor communication is a leading cause of sentinel events and human factors affect handover and transport.
To synthesize published data on pediatric handover and transport and identify gaps to provide direction for future investigation.
Integrative literature review.
Forty research studies were reviewed and revealed the following themes: risk for patient complications, standardized communication, and specialized teams and teamwork were associated with improved outcomes. No articles were identified regarding transportation of critically ill pediatric patients from the emergency room to the intensive care unit. There was a knowledge gap in best practices in handover and transport within the unique subsets of the pediatric population including neonate, toddler, school-aged, and adolescents.
Research supported a combined approach of specialized teams using standardized communication in the handover and transport of the pediatric patient to improve outcomes. Further study is warranted on interprofessional (team to team) handover practices, select subsets of the pediatric population, and the handover and transport of critically ill patients from the emergency room to the intensive care unit.
危重症儿科患者的交接与转运需要多学科之间的沟通。沟通不畅是警讯事件的主要原因，人为因素会影响交接与转运。
综合已发表的有关儿科交接与转运的数据，并找出差距，为未来的研究提供方向。
综合文献综述。
对40项研究进行了综述，揭示了以下主题：患者并发症风险、标准化沟通以及专业团队和团队合作与改善结局相关。未发现有关危重症儿科患者从急诊室转运至重症监护病房的文章。在儿科人群的独特亚组（包括新生儿、幼儿、学龄儿童和青少年）的交接与转运最佳实践方面存在知识空白。
研究支持在儿科患者的交接与转运中采用专业团队结合标准化沟通的方法来改善结局。有必要对跨专业（团队与团队之间）的交接实践、儿科人群的特定亚组以及危重症患者从急诊室到重症监护病房的交接与转运进行进一步研究。
