Hospital handoffs as multifunctional situated routines: implications for researchers and administrators.
Hospital handoffs as multifunctional situated routines: implications for researchers and administrators.
复制标题
医院交接作为多功能例行程序：对研究人员和管理人员的影响。
DOI：
10.1108/s1474-8231(2011)0000011008
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发表时间：
2011
影响因子：
--
通讯作者：
Cohen,MichaelD
中科院分区：
文献类型：
--
作者：
Hilligoss,Brian;Cohen,MichaelD
患者交接涉及医疗专业人员之间的信息交换，伴随着患者责任或控制权的转移。对不良交接带来的安全风险的担忧导致了监管压力，要求标准化实践和研究的显着增长。但交接不仅仅涉及信息传输，其对医疗保健组织的影响也超出了患者安全的范围。使用组织理论的视角，我们回顾了有关切换的文献，并提出了一个框架，将切换描述为多功能的、情境化的组织例程。我们还确定了对研究人员和医院决策者的影响。如果标准化和改进工作忽视了交接的复杂性及其所服务的更大的组织功能，那么它们就有可能导致意想不到的问题。加深我们对交接的多功能、情境性质的理解可以带来改进工作，不仅可以保护个体患者，还可以增强更大的医疗保健组织的能力。
Patient handoffs involve the exchange of information between health professionals accompanying a transfer of responsibility for, or control of, a patient. Concerns over the safety risks of poor handoffs have resulted in regulatory pressure to standardize practice and considerable growth in research. But handoffs involve more than information transfer, and their consequences for health care organizations extend beyond the safety of patients. Using an organization theory lens, we review the literature on handoffs and propose a framework that characterizes handoffs as multifunctional, situated organizational routines. We also identify implications for researchers and hospital policymakers. Standardization and improvement efforts run the risk of causing unintended problems if they overlook the complexity of handoff and the larger organizational functions it serves. Deepening our understanding of the multifunctional, situated nature of handoff can lead to improvement efforts that not only safeguard individual patients, but also enhance the capabilities of the larger health care organization.