Department of Plastic and Reconstructive Surgery, National Burns Center, Sheba Medical Center, Tel-Hashomer, Ramat Gan 52621, Israel.
Department of Plastic and Reconstructive Surgery, National Burns Center, Sheba Medical Center, Tel-Hashomer, Ramat Gan 52621, Israel; Clalit Health Services Management, Israel; Faculty of Medicine, Tel-Aviv University, Tel-Aviv 69978, Israel.
Burns. 2024 Jun;50(5):1138-1144. doi: 10.1016/j.burns.2024.02.002. Epub 2024 Feb 10.
Burns are serious injuries associated with significant morbidity and mortality. In Israel, burn patients are often transferred between facilities. However, unstructured and non-standardized transfer processes can compromise the quality of patient care and outcomes. In this retrospective study, we assessed the impact of implementing a transfer form for burn management, comparing two populations: those transferred before and after the transfer form implementation. This study included 47 adult patients; 21 were transferred before and 26 after implementing the transfer form. We observed a statistically significant improvement in reporting rates of crucial information obtained by Emergency Room clinicians and inpatient management indicators. Introducing a standardized transfer form for burn patients resulted in improved communication and enhanced primary management, transfer processes, and emergency room preparation. The burns transfer form facilitated accurate and comprehensive information exchange between clinicians, potentially improving patient outcomes. These findings highlight the importance of structured transfer processes in burn patient care and emphasize the benefits of implementing a transfer form to streamline communication and optimize burn management during transfers to specialized burn centers.
烧伤是严重的损伤，与较高的发病率和死亡率相关。在以色列，烧伤患者经常在医疗机构之间转移。然而，非结构化和非标准化的转移过程可能会影响患者护理的质量和结果。在这项回顾性研究中，我们评估了实施烧伤管理转移表单对患者的影响，比较了两个群体：在实施转移表单之前和之后转移的患者。本研究纳入了 47 名成年患者；21 名在实施转移表单之前转移，26 名在实施转移表单之后转移。我们观察到，急诊医生获得的关键信息报告率和住院管理指标有显著改善。为烧伤患者引入标准化的转移表单，可改善沟通，增强初始管理、转移过程和急诊准备。烧伤转移表单促进了临床医生之间准确和全面的信息交流，可能改善患者的预后。这些发现强调了在烧伤患者护理中采用结构化转移流程的重要性，并强调了实施转移表单的益处，以简化沟通并优化转移至专门的烧伤中心时的烧伤管理。
