Hans Felix Patricius, Krehl Julian, Kühn Matthias, Fuchs Matthias Wilhelm, Weiser Gerda, Busch Hans-Jörg, Benning Leo
Zentrum für Notfall und Rettungsmedizin, Universitäts-Notfallzentrum, Universitätsklinikum Freiburg, Sir-Hans-A.-Krebs-Straße, 79106, Freiburg, Deutschland.
Med Klin Intensivmed Notfmed. 2024 Feb;119(1):71-81. doi: 10.1007/s00063-023-01079-8. Epub 2023 Nov 21.
Patient handovers are a vital juncture in the flow of medical information, and regardless of the mode of handover-oral, written, or combined-it often poses a risk of information loss. This could potentially jeopardize patient safety and influences subsequent treatment. The exchange of information in emergency care settings between paramedics and emergency personnel is particularly prone to errors due to situational specifics such as high ambient noise, the involvement of multiple disciplines, and the need for urgent decision-making in life-threatening situations. As handover training is not yet universally incorporated into education and ongoing training programs, there is a high degree of variability in how it is carried out in practice. However, strategies aimed at enhancing the handover process carry substantial potential for improving staff satisfaction, process quality, and possibly even having a positive prognostic impact.
患者交接是医疗信息流通中的一个关键环节,无论采用何种交接方式——口头、书面或两者结合——都常常存在信息丢失的风险。这可能会危及患者安全并影响后续治疗。在紧急护理环境中,护理人员与急救人员之间的信息交流尤其容易出错,原因包括周围环境噪音大、涉及多个学科以及在危及生命的情况下需要紧急决策等具体情况。由于交接培训尚未普遍纳入教育和持续培训项目,其在实际操作中的实施方式存在很大差异。然而,旨在改进交接流程的策略在提高员工满意度、流程质量方面具有巨大潜力,甚至可能对预后产生积极影响。