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评估标准化床边交接班流程在外科病房的影响。

Evaluating the Influence of a Standardized Bedside Handoff Process in a Medical-Surgical Unit.

作者信息

Usher Ronnita, Cronin Sherill Nones, York Nancy L

出版信息

J Contin Educ Nurs. 2018 Apr 1;49(4):157-163. doi: 10.3928/00220124-20180320-05.

DOI:10.3928/00220124-20180320-05
PMID:29596702
Abstract

BACKGROUND

Patient safety is a national and global concern. In the United States, medical errors result in more than 50,000 unnecessary patient deaths annually and contribute to billions of dollars in health care costs. The purpose of this project was to evaluate a standardized bedside handoff process and its influence in a medical-surgical unit.

METHOD

A quality improvement project was performed in a medical-surgical unit and consisted of development, implementation, and evaluation of a standardized bedside handoff. The project included surveying nurses, a web-based educational program, and observations using the SBAR (T) competency checklist tool. Data were analyzed for trends.

RESULTS

Results identified an improved perception of communication among the nurses as it relates to shift report and a reduction in length of handoff time after the education intervention.

CONCLUSION

Continual nurse education and audits by nurse leaders are vital to the sustainment of positive outcomes. J Contin Educ Nurs. 2018;49(4):157-163.

摘要

背景

患者安全是一个全国性乃至全球性的关注点。在美国,医疗差错每年导致超过50000例不必要的患者死亡,并造成数十亿美元的医疗保健费用。本项目的目的是评估一种标准化的床边交接班流程及其在一个内科-外科病房的影响。

方法

在一个内科-外科病房开展了一项质量改进项目,该项目包括标准化床边交接班的开发、实施和评估。项目包括对护士进行调查、开展基于网络的教育项目以及使用SBAR(T)能力检查表工具进行观察。对数据进行趋势分析。

结果

结果显示,护士之间对与交接班报告相关的沟通的认知有所改善,且教育干预后交接班时间缩短。

结论

护士的持续教育以及护士长的审核对于维持积极成果至关重要。《护理学继续教育杂志》。2018年;49(4):157 - 163。

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