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PACU 交接班模式:文献回顾。

Handover Patterns in the PACU: A Review of the Literature.

机构信息

Department of Anesthesiology, Peking University People's Hospital, Beijing, China.

Department of Anesthesiology, Peking University People's Hospital, Beijing, China.

出版信息

J Perianesth Nurs. 2021 Apr;36(2):136-141. doi: 10.1016/j.jopan.2020.05.005. Epub 2020 Nov 6.

DOI:10.1016/j.jopan.2020.05.005
PMID:33168405
Abstract

PURPOSE

Currently, there is no standardized handover pattern for patients undergoing general anesthesia when being transferred to the postanesthesia care unit (PACU).

DESIGN

A review of the literature.

METHODS

In this study, a review of the literature was conducted to analyze the PACU handover status, factors for poor handover, and commonly used handover patterns.

FINDINGS

Important handover information was often omitted during the handover of PACU patients, and there were many factors influencing postoperative patient handover quality. This study analyzed and compared several commonly used handover patterns for patients. Among these, the Situation-Background-Assessment-Recommendation tool is relatively mature. However, there is currently no unified standardized patient handover pattern, and the validity and applicability of tools still need to be verified.

CONCLUSIONS

PACU is an important place for the recovery of surgical patients. Anesthesia providers need to provide PACU nurses with complete and comprehensive postoperative handover information. A standardized handover model for clinical nurses is needed to improve patient safety management and work efficiency.

摘要

目的

目前,全麻患者在转入麻醉后恢复室(PACU)时,尚无标准化的交接模式。

设计

文献回顾。

方法

本研究通过文献回顾,分析 PACU 交接现状、交接不良的影响因素及常用交接模式。

结果

PACU 患者交接时,常遗漏重要交接信息,影响术后患者交接质量的因素较多。本研究对几种常用的患者交接模式进行了分析比较,其中 Situation-Background-Assessment-Recommendation 工具较为成熟,但目前尚无统一的标准化患者交接模式,工具的有效性和适用性仍需验证。

结论

PACU 是外科患者恢复的重要场所,麻醉提供者需要为 PACU 护士提供完整、全面的术后交接信息,需要为临床护士制定标准化的交接模式,以提高患者安全管理和工作效率。

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1
Handover Patterns in the PACU: A Review of the Literature.PACU 交接班模式:文献回顾。
J Perianesth Nurs. 2021 Apr;36(2):136-141. doi: 10.1016/j.jopan.2020.05.005. Epub 2020 Nov 6.
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The postoperative handover: a focus group interview study with nurse anaesthetists, anaesthesiologists and PACU nurses.术后交接:对护士麻醉师、麻醉师和 PACU 护士的焦点小组访谈研究。
BMJ Open. 2017 Aug 4;7(8):e015038. doi: 10.1136/bmjopen-2016-015038.
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Enhancing the Quality of the Anesthesia to Postanesthesia Care Unit Patient Transfer Through Use of an Electronic Medical Record-Based Handoff Tool.通过使用基于电子病历的交接工具提高麻醉后护理单元患者转运的麻醉质量。
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Int J Qual Health Care. 2016 Oct;28(5):573-579. doi: 10.1093/intqhc/mzw073. Epub 2016 Jul 15.
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