Wollenhaup Christine A, Stevenson Eleanor L, Thompson Julie, Gordon Helen A, Nunn Gloria
Author Affiliations: Doctorate of Nursing Practice Graduate (Dr Wollenhaup), Assistant Professor (Drs Stevenson and Gordon), and Research Associate/Statistical Consultant (Dr Thompson), Duke University School of Nursing, Durham, North Carolina; and Unit Nurse Educator (Dr Nunn), Emory Healthcare, Johns Creek, Georgia.
J Nurs Adm. 2017 Jun;47(6):320-326. doi: 10.1097/NNA.0000000000000487.
The most frequent cause of sentinel events is poor communication during the nurse-to-nurse handoff process. Standardized methods of handoff do not fit in every patient care setting. The aims of this quality improvement project were to successfully implement a modified bedside handoff model, with some report outside and some inside the patient's room, in a postpartum unit. A structured educational module and champion nurses were used. The new model was evaluated based on the change in compliance, patient satisfaction, and nursing satisfaction. Two months after implementation, there was an increase in nursing compliance in completing all aspects of the model as well as an increase in both patient and staff satisfactions of the process. Replicating this project may help other specialty units adhere to safety recommendations for handoff report.
哨兵事件最常见的原因是护士之间交接班过程中的沟通不畅。标准化的交接班方法并不适用于每个患者护理环境。这个质量改进项目的目标是在产后病房成功实施一种改良的床边交接班模式，部分报告在病房外进行，部分在患者病房内进行。采用了结构化教育模块和护士长。基于合规性、患者满意度和护理满意度的变化对新模型进行了评估。实施两个月后，护士在完成模型所有方面的合规性有所提高，患者和工作人员对该过程的满意度也有所提高。复制这个项目可能有助于其他专科病房遵守交接班报告的安全建议。
