Mounsey Stephen J, Amer Halima, Yeung Michael
University College London Hospital, London, UK.
Clinical Pharmacology and Therapeutics, University College London Hospital, London, UK.
Future Healthc J. 2018 Oct;5(3):224-228. doi: 10.7861/futurehosp.5-3-224.
Handover has long been identified as a potential source for error that can have direct consequences for patient care. The current weekend handover system at University College Hospital, London, involved a verbal handover meeting with a variety of methods used to collate information. A new handover system was introduced that involved the pre-population of a spreadsheet before attending the handover meeting. Doctors involved in the handover process were canvassed for opinion before and after the introduction of the new system, and logistical data were collected. The new system reduced the amount of time spent preparing for, and delivering, handover, and was deemed to be safer and to improve adherence to the Royal College of Physicians' guidelines for handover, including specification of level of doctor to perform handover and prioritisation of handover.
长期以来，交接班一直被认为是一个潜在的错误源头，可能会对患者护理产生直接影响。伦敦大学学院医院当前的周末交接班系统包括一次口头交接班会议，会上使用了多种方法来整理信息。引入了一种新的交接班系统，即在参加交接班会议之前预先填写电子表格。在新系统引入前后，征求了参与交接班过程的医生的意见，并收集了后勤数据。新系统减少了准备和进行交接班所花费的时间，被认为更安全，并且提高了对皇家内科医师学院交接班指南的遵守情况，包括明确进行交接班的医生级别和确定交接班的优先级。
