J Healthc Qual. 2021;43(6):365-373. doi: 10.1097/JHQ.0000000000000291.
Effective communication among healthcare teams is essential for ensuring handoff-related safety and quality care outcomes.
The aim of this project was to improve patient safety through the reduction of communication-related errors on an acute hemodialysis unit (AHU) in an academic medical center. A target was set to reduce by 50 percent the communication-related errors using strategies to improve teamwork and communication.
Acute hemodialysis unit team members attended Clinical Team Training (CTT) informational sessions on teamwork and communication. A structured handoff tool was implemented in the AHU to improve nurse communication and reduce communication-related patient safety events. Descriptive statistics and comparison of means were conducted to assess the differences between preimplementation and postimplementation audit and safety event data.
There was a statistically significant difference between the preintervention and postintervention groups of handoff tool usage and completion as well as a consistent decrease in handoff-related safety events after implementation.
CONCLUSIONS/IMPLICATIONS: Findings suggest that CTT and a structured handoff tool used to guide nurse-to-nurse care transitions lead to a reduction in communication-related safety events during handoffs in an AHU.
医疗团队之间的有效沟通对于确保交接相关的安全和高质量的护理结果至关重要。
本项目旨在通过减少学术医疗中心急性血液透析单位（AHU）的沟通相关错误来提高患者安全性。设定了一个目标，即通过改善团队合作和沟通的策略，将沟通相关的错误减少 50%。
急性血液透析单位的团队成员参加了关于团队合作和沟通的临床团队培训（CTT）信息会议。在 AHU 中实施了结构化的交接工具，以改善护士之间的沟通并减少与沟通相关的患者安全事件。采用描述性统计和均值比较来评估实施前和实施后审核和安全事件数据之间的差异。
交接工具的使用和完成情况在干预前和干预后组之间存在统计学显著差异，并且在实施后，交接相关的安全事件持续减少。
结论/意义：研究结果表明，CTT 和用于指导护士到护士护理交接的结构化交接工具可减少 AHU 交接过程中的沟通相关安全事件。
