Can technology improve intershift report? What the research reveals
Can technology improve intershift report? What the research reveals
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DOI：
10.1016/j.profnurs.2006.03.007
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发表时间：
2006-05-01
影响因子：
2.5
通讯作者：
Ottani, Patricia
中科院分区：
文献类型：
--
作者：
Strople, Bernadette;Ottani, Patricia
轮班报告是一个多方面的过程，旨在为护士提供重要的患者信息，以促进临床决策和患者护理计划。轮班报告还为护士提供了一个功能论坛，如解决病人问题和协作。作者进行了一项文献综述，表明目前用于收集和传达患者信息的方法无效，可能导致不良患者结局。数据不一致，法律的影响，增加了护理短缺的时间限制，以及轮班报告的财务影响也得到了解决。文献揭示了开创新的和创新的轮班交流方法的重要原理。在《人皆有错：建立一个安全的卫生系统》报告中，医学研究所将多达98，000名住院美国人的死亡归因于医疗错误，包括沟通失败。（1999年）。犯错是人的本性：建立一个安全的卫生系统。美国卫生保健质量委员会的报告。华盛顿，DC：国家科学院出版社]。因此，政府决策者和卫生保健机构将注意力集中在确定错误的根本原因，以确定预防措施，包括使用信息技术。（2004年）。保护病人安全：改变护士的工作环境。美国卫生保健质量委员会的报告。华盛顿，DC：国家科学院出版社]。在此前提下，作者研究了护理轮班报告的过程，以及它如何影响病人的结果。使用计算机技术和无线通信模式的探讨，作为一种手段，改善轮班报告过程中，随后，医疗保健的结果和病人的安全。
Shift report is a multifaceted process that serves to provide nurses with vital patient information to facilitate clinical decisions and patient care planning. A shift report also provides nurses with a forum for functions, such as patient problem solving and collaboration. The authors conducted a literature review, which indicates that current methodologies used to collect and convey patient information are ineffective and may contribute to negative patient outcomes. Data incongruence, legal implications, time constraints augmented by the nursing shortage, and the financial impact of shift report are also addressed. The literature reveals significant rationale for pioneering new and innovative methods of shift-to-shift communication. In the report To Err is Human: Building a Safe Health System, the Institute of Medicine attributes the deaths of up to 98,000 hospitalized Americans to medical errors, including communication failures [Institute of Medicine. (1999). To err is human: Building a safe health system. Report by the Committee on Quality of Health Care in America. Washington, DC: National Academy Press]. As a result, government policy makers and health care agencies have focused their attention on determining the root cause of errors to identify preventative measures, including the use of information technology [institute of Medicine. (2004). Keeping patients safe: Transforming the work environment of nurses. Report by the Committee on Quality of Health Care in America. Washington, DC: National Academy Press]. Under these premises, the authors examined the process of nursing shift report and how it impacts patient outcomes. The use of computer technology and wireless modes of communication is explored as a means of improving the shift report process and, subsequently, health care outcomes and patient safety.