Student Research Committee, Urmia University of Medical Sciences, Urmia, Iran.
Department of Health Information Technology, School of Allied Medical Sciences, Urmia University of Medical Sciences, Urmia, Iran.
BMC Health Serv Res. 2023 May 23;23(1):527. doi: 10.1186/s12913-023-09502-8.
The unprecedented increase in the nurses' workload is one of the issues affecting the quality and safety of patient care in the Intensive Care Units (ICUs). The electronic nursing handover can share sufficient, relevant, and necessary data about patients with greater efficiency and accuracy and prevent their information from being deleted. Therefore, this study aimed to determine and compare the effect of the Electronic Nursing Handover System (ENHS) on patient safety in General ICU and COVID-19 ICU.
This is a quasi-experimental study conducted during an 8-month period from 22 to 2021 to 26 June 2022 using a test-retest design. A total of 29 nurses working in the General and COVID-19 ICUs participated in this study. Data were collected using a five-part questionnaire consisting of demographic information, handover quality, handover efficiency, error reduction, and handover time. Data analysis was conducted in IBM SPSS Statistics for Windows, version 26 (IBM Corp., Armonk, N.Y., USA) using the chi-squared test, paired t-test, and Analysis of Covariance (ANCOVA).
The results showed that the mean scores of handover quality and efficiency, reduction of clinical error, and handover time in the electronic handover were significantly higher than those obtained in the paper-based method. The results showed that the mean score of patient safety in the COVID-19 ICU was 177.40 ± 30.416 for the paper-based handover and 251.40 ± 29.049 for the electronic handover (p = .0001). Moreover, the mean score of patient safety in the general ICU was 209.21 ± 23.072 for the paper-based handover and 251.93 ± 23.381 for the electronic one (p = .0001).
The use of ENHS significantly improved the quality and efficiency of shift handover, reduced the possibility of clinical error, saved handover time, and finally increased patient safety compared to the paper-based method. The results also showed the positive perspectives of ICU nurses toward the positive effect of ENHS on the patient safety improvement.
护士工作量的空前增加是影响重症监护病房（ICU）患者护理质量和安全的问题之一。电子护理交接班可以更高效、更准确地共享患者的充分、相关且必要的数据，并防止信息被删除。因此，本研究旨在确定并比较电子护理交接班系统（ENHS）对普通 ICU 和 COVID-19 ICU 患者安全的影响。
这是一项准实验研究，在 2021 年 8 月 22 日至 2022 年 6 月 26 日期间进行了 8 个月，采用测试-再测试设计。共有 29 名在普通和 COVID-19 ICU 工作的护士参与了这项研究。使用由五部分组成的问卷收集数据，问卷包括人口统计学信息、交接班质量、交接班效率、错误减少和交接班时间。数据分析使用 IBM SPSS Statistics for Windows，版本 26（IBM 公司，纽约州阿蒙克），使用卡方检验、配对 t 检验和协方差分析（ANCOVA）。
结果显示，电子交接班的交接班质量和效率、临床错误减少和交接班时间的平均得分明显高于纸质交接班的得分。结果显示，纸质交接班时 COVID-19 ICU 的患者安全平均得分为 177.40±30.416，电子交接班时为 251.40±29.049（p=.0001）。此外，纸质交接班时普通 ICU 的患者安全平均得分为 209.21±23.072，电子交接班时为 251.93±23.381（p=.0001）。
与纸质交接班相比，使用 ENHS 显著提高了交接班的质量和效率，降低了临床错误的可能性，节省了交接班时间，最终提高了患者的安全性。结果还表明，ICU 护士对 ENHS 对提高患者安全的积极影响持积极态度。
