Briana R Miller, Kimberly A Maye, Frances D Charlton
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引用次数: 0
摘要
背景:完整准确的护理信息交接对患者安全至关重要,但护理部门之间往往难以实现信息交接的一致性:本质量改进项目旨在介绍标准化交接工具的开发和试用情况,该工具可通过电脑平板管理,用于护理报告:这项描述性质量改进项目在美国东南部地区一家拥有 885 张床位的一级创伤中心进行。研究分三个阶段完成。首先,对急诊科和创伤重症监护室的护士进行调查,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结合平板电脑技术的标准化交接工具。第三,对员工进行试点测试,然后进行最终调查,以确定员工对该工具的反馈意见:共有 n = 120 名护士完成了调查,并在 n = 177 次病人交接中进行了试点测试。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:这项研究支持在急诊科和创伤重症监护室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交流的好处。
Development of a Standardized Nursing Handoff With Tablet Technology: A Quality Improvement Initiative.
Background: Nursing handoff of complete and accurate information is critical for patient safety yet is often difficult to achieve with consistency between nursing departments.
Objective: This quality improvement project aims to describe the development and piloting of a standardized handoff tool for administration by computer tablet for nursing report.
Methods: 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.
Results: 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.
Conclusion: 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.