Adaptation of a postoperative handoff communication process for children with heart disease: a quantitative study.
Adaptation of a postoperative handoff communication process for children with heart disease: a quantitative study.
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DOI：
10.1177/1062860610394342
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发表时间：
2011-09
期刊：
影响因子：
--
通讯作者：
Mistry KP
中科院分区：
文献类型：
--
作者：
Chen JG;Wright MC;Smith PB;Jaggers J;Mistry KP
Handoff communication is a point of vulnerability when valuable patient information can be inaccurate or omitted. In 2005 we implemented a protocol to improve the handoff process for children from the operating room to the intensive care unit after cardiac surgery. We performed a cross-sectional study of the present process to understand how users adapt a communication intervention over time. 29 handoff events were observed. Individuals required for the handoff were present at 97% of events. Content items averaged a 53% reporting rate. Some clinical information not specified in the protocol demonstrated a higher reporting rate, such as echocardiogram results (68%) and vascular access (79%). A mean of 2.3 environmental distractions per minute of communication were noted. Participant-directed adjustments in content reporting suggest that a facilitator in process improvement is user-centered innovation. Future handoff communication interventions should reduce nonessential distractions and incorporate a discussion of the anticipated patient course.
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