Chen Lu, Guo Uta S, Bhesania Siddharth, Shah Hardikkumar, Ali Emdad, Mehta Parag
Department of Cardiology, State University of New York Downstate Medical Center, Brooklyn, USA.
Department of Family Medicine and Community Health, Icahn School of Medicine at Mount Sinai, New York, USA.
Cureus. 2021 Sep 28;13(9):e18352. doi: 10.7759/cureus.18352. eCollection 2021 Sep.
The 80-hour per week work limit resulted in an increased number of patient handoffs. A satisfactory handoff system should optimize the exchange of vital patient information while concisely minimizing error. This project describes our experience and lessons learned in successfully developing and implementing an Electronic Health Record (EHR)-integrated handoff system based on the I-PASS model. The handoff system, termed Physician Handoff, was refined through end-user feedback. End-users were evaluated on the quality of handoff in the following categories: Illness Severity, Patient Summary, Action List, and Situational Awareness. Resulting survey showed high adoption and satisfaction rate with Physician Handoff. Success can be attributed to interdepartmental collaboration, credentialing the users, and recognizing the importance of end-user feedback.
每周80小时的工作限制导致患者交接数量增加。一个令人满意的交接系统应在优化重要患者信息交换的同时，简洁地减少错误。本项目描述了我们在成功开发和实施基于I-PASS模型的电子健康记录（EHR）集成交接系统方面的经验和教训。这个被称为“医生交接”的交接系统通过终端用户反馈得到了完善。对终端用户在以下类别中的交接质量进行了评估：疾病严重程度、患者总结、行动清单和情景意识。最终的调查显示，“医生交接”的采用率和满意度很高。成功可归因于部门间的合作、对用户进行资格认证以及认识到终端用户反馈的重要性。
