Abstract：
BACKGROUND: Transfer of care, moving hospitalized patients between care areas, is a critical point of vulnerability for healthcare organizations. Patient information handoff is an essential activity occurring frequently in hospital environments. Poor communication has been linked with adverse events and poor patient outcomes. This evidence-based quality project aimed to enhance the handoff process between the Emergency Department (ED) and Pediatric Intensive Care Unit (PICU) by standardizing transfer of care steps. This was accomplished through customizing a reporting tool to contain all the information the receiving department deemed necessary for safe patient care.
METHODS: A customized situation, background, assessment, recommendation (SBAR) form handoff tool was developed for ED to PICU transfers. This SBAR tool included information that PICU nurses identified as critical to transfer of care. Nurse perceptions were surveyed pre- and post-implementation. Patient safety event reports were tracked to evaluate events related to transfer of care before and after the practice change.
RESULTS: An increased number of PICU nurses agreed the customized handoff tool was complete and organized. Additionally, more nurses agreed that handoff gave all information needed to safely care for critically ill patients transferred from the ED. Lastly, bedside patient checks increased, and patient safety events related to transfer of care decreased.
CONCLUSIONS: This project demonstrated that implementation of a standardized transfer of care process coupled with a customized handoff tool increased PICU nurse perceptions that handoff was organized, and all information needed to safely care for critically ill patients was conveyed.
CONCLUSIONS: Transfer of care processes between the ED and PICU should be standardized. The use of customized tools may improve information exchange between nurses and ensure that all vital patient information is communicated.
METHODS: A customized situation, background, assessment, recommendation (SBAR) form handoff tool was developed for ED to PICU transfers. This SBAR tool included information that PICU nurses identified as critical to transfer of care. Nurse perceptions were surveyed pre- and post-implementation. Patient safety event reports were tracked to evaluate events related to transfer of care before and after the practice change.
RESULTS: An increased number of PICU nurses agreed the customized handoff tool was complete and organized. Additionally, more nurses agreed that handoff gave all information needed to safely care for critically ill patients transferred from the ED. Lastly, bedside patient checks increased, and patient safety events related to transfer of care decreased.
CONCLUSIONS: This project demonstrated that implementation of a standardized transfer of care process coupled with a customized handoff tool increased PICU nurse perceptions that handoff was organized, and all information needed to safely care for critically ill patients was conveyed.
CONCLUSIONS: Transfer of care processes between the ED and PICU should be standardized. The use of customized tools may improve information exchange between nurses and ensure that all vital patient information is communicated.
摘要：
背景：转移护理，在护理区域之间移动住院患者，是医疗保健组织的一个关键弱点。患者信息切换是医院环境中频繁发生的重要活动。沟通不良与不良事件和不良患者预后有关。这个基于证据的质量项目旨在通过标准化护理步骤的转移来增强急诊科（ED）和儿科重症监护病房（PICU）之间的交接过程。这是通过定制报告工具来完成的，该工具包含接收部门认为安全患者护理所必需的所有信息。
方法：定制情况，背景,评估，推荐（SBAR）表格移交工具是为ED到PICU转移开发的。该SBAR工具包括PICU护士认为对护理转移至关重要的信息。实施前后对护士的看法进行了调查。跟踪患者安全事件报告，以评估与实践变更前后的护理转移相关的事件。
结果：越来越多的PICU护士认为定制的交接工具是完整和有组织的。此外,更多的护士同意,移交提供了安全护理从ED转移过来的危重患者所需的所有信息.最后,床边患者检查增加，与转移护理相关的患者安全事件减少。
结论：该项目表明，实施标准化的护理转移流程以及定制的移交工具可以增加PICU护士对移交组织的感知，并传达了危重病人安全护理所需的所有信息。
结论：护理流程在ED和PICU之间的转移应标准化。定制工具的使用可以改善护士之间的信息交换并且确保所有重要患者信息被传达。
方法：定制情况，背景,评估，推荐（SBAR）表格移交工具是为ED到PICU转移开发的。该SBAR工具包括PICU护士认为对护理转移至关重要的信息。实施前后对护士的看法进行了调查。跟踪患者安全事件报告，以评估与实践变更前后的护理转移相关的事件。
结果：越来越多的PICU护士认为定制的交接工具是完整和有组织的。此外,更多的护士同意,移交提供了安全护理从ED转移过来的危重患者所需的所有信息.最后,床边患者检查增加，与转移护理相关的患者安全事件减少。
结论：该项目表明，实施标准化的护理转移流程以及定制的移交工具可以增加PICU护士对移交组织的感知，并传达了危重病人安全护理所需的所有信息。
结论：护理流程在ED和PICU之间的转移应标准化。定制工具的使用可以改善护士之间的信息交换并且确保所有重要患者信息被传达。
