Author Affiliation: Department of Nursing Administration and Trauma Surgery, Atrium Health Wake Forest Baptist, Winston-Salem, North Carolina.
J Trauma Nurs. 2024;31(4):218-223. doi: 10.1097/JTN.0000000000000801. Epub 2024 Jul 4.
Nursing handoff of complete and accurate information is critical for patient safety yet is often difficult to achieve with consistency between nursing departments.
This quality improvement project aims to describe the development and piloting of a standardized handoff tool for administration by computer tablet for nursing report.
This descriptive quality improvement initiative was conducted in an 885-bed Level I trauma center in the Southeast Region of the United States. The study was completed in three phases. First, emergency department and trauma intensive care unit nurses were surveyed to determine handoff barriers and best practices. Second, the survey information was used to develop a standardized handoff tool incorporating tablet technology. Third, staff pilot testing was performed, followed by a final survey to ascertain staff feedback on the tool.
A total of n = 120 nurses completed the surveys, and pilot testing was conducted on n = 177 patient handoffs. Ninety-five percent of nurses expressed satisfaction with the tool and 65% with the tablet.
This study supported using a standardized handoff tool between the emergency department and trauma intensive care unit and substantiated the benefits of using a tablet for face-to-face communication.
护理人员完整、准确地交接信息对于患者安全至关重要，但在护理部门之间往往难以始终如一地做到这一点。
本质量改进项目旨在描述一种标准化交接工具的开发和试点，该工具通过平板电脑进行护理报告。
这项描述性质量改进计划在美国东南部的一家拥有 885 张床位的一级创伤中心进行。该研究分三个阶段完成。首先，对急诊室和创伤重症监护病房的护士进行调查，以确定交接障碍和最佳实践。其次，利用调查信息开发了一种包含平板电脑技术的标准化交接工具。第三，进行了员工试点测试，然后进行了最终调查，以确定员工对该工具的反馈。
共有 120 名护士完成了调查，对 177 例患者交接进行了试点测试。95%的护士对该工具表示满意，65%的护士对平板电脑表示满意。
本研究支持在急诊室和创伤重症监护病房之间使用标准化交接工具，并证实了使用平板电脑进行面对面沟通的好处。
