Inter-department patient handoff quality and its contributing factors in Chinese hospitals
Inter-department patient handoff quality and its contributing factors in Chinese hospitals
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DOI：
10.1007/s10111-018-0500-4
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发表时间：
2019-02-01
影响因子：
2.6
通讯作者：
Itoh, Kenji
中科院分区：
文献类型：
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作者：
Gu, Xiuzhu;Liu, Hu-chen;Itoh, Kenji
本研究的目的是从中国医护人员的角度，获得影响科室间患者交接质量的因素，并揭示当前科室间患者交接的特点。为了解员工对跨部门离职的意见，我们编制了一份问卷。在线问卷调查于2016年12月至2017年3月期间进行。从医生、护士和助理护士中共收集了490份有效问卷。运用主成分分析法得到五个切换因子，累积方差占44%。三个专业组之间存在显著差异，助理护士的负面评价最多。然而，也有类似的观点倾向，即，他们对自己的角色有很好的了解，并在会议期间有足够的沟通。相反，据观察，病人护理的责任和信息有时被中断。从工作人员的角度来看，整体切换质量主要受相互沟通、切换系统和环境的影响。据报告，接收患者时的信息传递频率不足高于发送患者时，特别是在接收急诊或门诊部的患者时。总体而言，中国的医护人员对跨部门患者护理人员的整体质量和安全性评价较高。但是，有人指出，有时信息和责任的转移不充分。为了解决这种不连续性，我们建议一个标准化的交接过程，有效地使用无牌工作人员和培养错误报告和学习的文化。
The aims of the current study were to obtain factors contributing to inter-department patient handoff quality and to uncover characteristics of the current handoffs from the point of view of Chinese healthcare staff. A questionnaire was developed to obtain the staff's views on inter-department handoffs. An online questionnaire survey was conducted between December 2016 and March 2017. A total of 490 valid responses were collected from physicians, nurses, and assistant nurses. Five handoff factors were derived by applying principal component analysis with 44% of cumulative variance accounted for. Significant differences were observed across three professional groups and assistant nurses had the most negative evaluations. However, a similar trend of views was shared, i.e., they showed a good understanding of their own roles and adequate communication during handoffs. In contrast, it was observed that patient care responsibility and information were sometimes discontinued. From the point of view of staff, the overall handoff quality was mainly affected by mutual communication, the handoff system and environment. The inadequacy of information transfer frequency was reported to be higher when receiving patients than when sending patients, particularly when receiving patients from the emergency or outpatient departments. Generally, healthcare staff in China had a high estimation of the overall quality and safety of inter-department patient handoffs. However, it was observed that information and responsibility were sometimes transferred inadequately. To resolve this discontinuity, we suggest a standardized handoff process, effective use of unlicensed staff and fostering a culture of error reporting and learning.