危急重症患者的紧急交接。系统综述。

Emergency handover of critical patients. A systematic review.

机构信息

Hospital de Tortosa Verge de la Cinta, Catalan Institute of Health, Pere Virgili Institute, Carretera Esplanetes, 14, 43500 Tortosa, Tarragona, Spain; Nursing Department, Universitat Rovira Virgili, Campus Terres de l'Ebre, Avenue Remolins, 13-15, 43500 Tortosa, Tarragona, Spain.

Nursing Department, Universitat Rovira Virgili, Campus Terres de l'Ebre, Avenue Remolins, 13-15, 43500 Tortosa, Tarragona, Spain; Department of Pathology, Hospital de Tortosa Verge de la Cinta, Catalan Institute of Health, Pere Virgili Institute, Carretera Esplanetes, 14, 43500, Tortosa, Tarragona, Spain.

出版信息

Int Emerg Nurs. 2021 May;56:100997. doi: 10.1016/j.ienj.2021.100997. Epub 2021 Apr 19.

DOI:10.1016/j.ienj.2021.100997

PMID:33887611

Abstract

BACKGROUND

Emergency handover of critical patients is used to describe the moment of union between prehospital and hospital health team. However, the literature shows several definitions leading to great heterogeneity.

PURPOSE

To study the emergency handover of critical patients between two critical-emergency care wards performed by emergency nurses worldwide and to identify the features of these processes.

METHODS

We conducted an integrative review in eleven databases published from 2010 to 2019. Quality criteria and PRISMA checklist were applied. The protocol is registered with PROSPERO (CRD42020182335).

RESULTS

A total of 22 studies included and the following factors were identified: variability vs standardization, identification, professionals' behavior, localization, environmental factors, patient participation, clinical records, education/training, responsability, and communication.

CONCLUSIONS

The actual emergency handover occurs under conditions quite contrary to those recommended by experts so that it is neither safe nor effective, leading a serious problem for patient safety and quality care.

摘要