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阿曼一家儿科三级护理单位对一种标准交接班工具的评估。

Evaluation of a Standard Handover Tool at a Pediatric Tertiary Care Unit in Oman.

作者信息

Al Riyami Hilal, Al-Makhmari Sharifa, Al Balushi Sarah, Al Abri Saif, Al Jabri Majid

机构信息

Child Health Department, Sultan Qaboos University Hospital, Muscat, OMN.

Child Health, Oman Medical Specialty Board, Muscat, OMN.

出版信息

Cureus. 2023 Aug 7;15(8):e43088. doi: 10.7759/cureus.43088. eCollection 2023 Aug.

Abstract

Background The handover system is a great communication tool physicians use to transfer and receive patients' care-related information. The introduction of structured handover tools has resulted in a dramatic reduction in hospital-acquired injuries. We hypothesize that the I-PASS handover tool will improve both written and verbal communication without compromising the handover duration. The current study aims to improve the quality of care and patient safety by evaluating the applicability of I-PASS handover in the Child Health Department at Sultan Qaboos University Hospital, Oman.  Results A total of 20 trainees were enrolled in this study. After the implementation of I-PASS, 70% (14/20) of the respondents thought that the handover was well-structured, compared to 30% (6/20) prior to the implementation of I-PASS (P = .003). Due to I-PASS, about 80% of the participants could identify deteriorating patients and around 60% were confident in addressing emergencies. The I-PASS handover technique has raised participants' satisfaction from 80% to 95%. Before I-PASS, the mean adherence rate across all 10 variables was 28.7/50 (57.4%), compared to the post-I-PASS rate of 47/50 (94%). Conclusion The I-PASS system is a feasible and flexible clinical handover tool. This study showed that I-PASS has improved on-call handovers and patient safety.

摘要

背景

交接班系统是医生用于传递和接收患者护理相关信息的重要沟通工具。结构化交接班工具的引入已使医院获得性损伤大幅减少。我们假设I-PASS交接班工具将改善书面和口头沟通,同时不影响交接班时长。本研究旨在通过评估I-PASS交接班在阿曼苏丹卡布斯大学医院儿童健康科的适用性,提高护理质量和患者安全。结果:本研究共纳入20名实习生。实施I-PASS后,70%(14/20)的受访者认为交接班结构良好,而在实施I-PASS前这一比例为30%(6/20)(P = .003)。由于I-PASS,约80%的参与者能够识别病情恶化的患者,约60%的参与者对处理紧急情况有信心。I-PASS交接班技术使参与者的满意度从80%提高到了95%。在I-PASS之前,所有10个变量的平均依从率为28.7/50(57.4%),而I-PASS之后的依从率为47/50(94%)。结论:I-PASS系统是一种可行且灵活的临床交接班工具。本研究表明,I-PASS改善了值班交接班情况和患者安全。

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本文引用的文献

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I-PASS handover system: a decade of evidence demands action.I-PASS 交接系统:十年证据要求采取行动。
BMJ Qual Saf. 2021 Oct;30(10):769-774. doi: 10.1136/bmjqs-2021-013314. Epub 2021 Apr 23.
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Ann Med Surg (Lond). 2020 Jun 9;56:77-81. doi: 10.1016/j.amsu.2020.06.005. eCollection 2020 Aug.
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Strengthening the Medical Error "Meme Pool".强化医疗错误“模因池”。
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