Abstract：
OBJECTIVE: This study examined the effect on pediatric nursing handover quality and efficiency when a standardized e-handover system was implemented.
BACKGROUND: Handover quality is an important aspect of nursing quality management; however, handover quality among nursing staff is poor.
METHODS: A prospective interventional study was carried out in a general pediatrics ward from December 2019 to November 2020. The tools included a standardized e-handover system. The intervention strategies included workflow remodeling and employee training on oral handover using the standardized e-handover system.
RESULTS: The omission frequency of critical handover elements decreased from 47.32% to 2.94% (p < .01), among which the omission frequencies of nine out of 16 key elements significantly decreased. Integrity also showed improvement. Specifically, the integrity of five types of critical information was significantly improved, including vital signs, signs and symptoms, laboratory test results, radiologic examination results, and treatment regimen (2.00 vs. 5.00, p < .01; 3.00 vs. 5.00, p < .01; 3.00 vs. 5.00, p < .01; 5.00 vs. 5.00, p = .009; 3.00 vs. 4.00, p < .01, respectively). Information accuracy was 100%. Workflow and efficiency significantly improved, communication duration with patient/family during work hours significantly increased (24.00 vs. 56.00, p < .01), and prehandover preparation duration significantly decreased (32.00 vs. 2.50, p < .01). Nurse handover satisfaction showed improvement (56.88 ± 15.08 vs. 74.31 ± 9.22, p < .01).
CONCLUSIONS: The standardized e-handover system effectively improved nurse handover quality, optimized workflow, increased work efficiency, and promoted teamwork.
CONCLUSIONS: Standardized e-handover systems have great potential for ensuring the safety of pediatric patients and improving the quality of handover.
BACKGROUND: Handover quality is an important aspect of nursing quality management; however, handover quality among nursing staff is poor.
METHODS: A prospective interventional study was carried out in a general pediatrics ward from December 2019 to November 2020. The tools included a standardized e-handover system. The intervention strategies included workflow remodeling and employee training on oral handover using the standardized e-handover system.
RESULTS: The omission frequency of critical handover elements decreased from 47.32% to 2.94% (p < .01), among which the omission frequencies of nine out of 16 key elements significantly decreased. Integrity also showed improvement. Specifically, the integrity of five types of critical information was significantly improved, including vital signs, signs and symptoms, laboratory test results, radiologic examination results, and treatment regimen (2.00 vs. 5.00, p < .01; 3.00 vs. 5.00, p < .01; 3.00 vs. 5.00, p < .01; 5.00 vs. 5.00, p = .009; 3.00 vs. 4.00, p < .01, respectively). Information accuracy was 100%. Workflow and efficiency significantly improved, communication duration with patient/family during work hours significantly increased (24.00 vs. 56.00, p < .01), and prehandover preparation duration significantly decreased (32.00 vs. 2.50, p < .01). Nurse handover satisfaction showed improvement (56.88 ± 15.08 vs. 74.31 ± 9.22, p < .01).
CONCLUSIONS: The standardized e-handover system effectively improved nurse handover quality, optimized workflow, increased work efficiency, and promoted teamwork.
CONCLUSIONS: Standardized e-handover systems have great potential for ensuring the safety of pediatric patients and improving the quality of handover.
摘要：
目的：本研究考察了实施标准化电子交接系统对儿科护理交接质量和效率的影响。
背景：交接质量是护理质量管理的一个重要方面；然而，护理人员交接质量差。
方法：一项前瞻性介入研究于2019年12月至2020年11月在普通儿科病房进行。这些工具包括标准化的电子移交系统。干预策略包括工作流程重塑和员工使用标准化的电子交接系统进行口头交接培训。
结果：关键移交要素的遗漏频率从47.32%下降到2.94%（p<.01），其中16个关键要素中有9个的遗漏频率显著下降。完整性也显示出改善。具体来说,五种关键信息的完整性显著提高，包括生命体征,症状和体征,实验室测试结果，放射学检查结果,和治疗方案（2.00vs.5.00,p<.01;3.00vs.5.00,p<.01;3.00vs.5.00，p<0.01；5.00与5.00，p=.009；3.00与4.00，p<0.01）。信息准确率为100%。工作流程和效率显著提高，在工作时间内与患者/家人的沟通时间显着增加（24.00vs.56.00，p<.01)，和移交前准备持续时间显着减少（32.00与2.50，p<.01）。护士交接满意度有所改善(56.88±15.08vs.74.31±9.22，p<0.01）。
结论：标准化的电子交接制度有效地提高了护士交接质量，优化的工作流程，提高工作效率,并促进团队合作。
结论：标准化的电子移交系统在确保儿科患者的安全和提高移交质量方面具有巨大的潜力。
背景：交接质量是护理质量管理的一个重要方面；然而，护理人员交接质量差。
方法：一项前瞻性介入研究于2019年12月至2020年11月在普通儿科病房进行。这些工具包括标准化的电子移交系统。干预策略包括工作流程重塑和员工使用标准化的电子交接系统进行口头交接培训。
结果：关键移交要素的遗漏频率从47.32%下降到2.94%（p<.01），其中16个关键要素中有9个的遗漏频率显著下降。完整性也显示出改善。具体来说,五种关键信息的完整性显著提高，包括生命体征,症状和体征,实验室测试结果，放射学检查结果,和治疗方案（2.00vs.5.00,p<.01;3.00vs.5.00,p<.01;3.00vs.5.00，p<0.01；5.00与5.00，p=.009；3.00与4.00，p<0.01）。信息准确率为100%。工作流程和效率显著提高，在工作时间内与患者/家人的沟通时间显着增加（24.00vs.56.00，p<.01)，和移交前准备持续时间显着减少（32.00与2.50，p<.01）。护士交接满意度有所改善(56.88±15.08vs.74.31±9.22，p<0.01）。
结论：标准化的电子交接制度有效地提高了护士交接质量，优化的工作流程，提高工作效率,并促进团队合作。
结论：标准化的电子移交系统在确保儿科患者的安全和提高移交质量方面具有巨大的潜力。
