■良好的交接能创造对责任和患者状态的共同理解。为了进行有效的移交过程,医疗保健提供者之间的有效沟通起着至关重要的作用。但是,通常观察到,医疗保健提供者之间的沟通无效,这增加了医疗错误的风险,并对护理质量产生负面影响,患者结果和满意度。此外,将手术后的护理转移到麻醉后监护病房(PACU)给提供和接收团队的提供者带来了特殊挑战.
■一项描述性横断面研究于2020年10月1日至11月30日在迪拉大学转诊医院麻醉后监护病房进行。为了进行研究,评估了连续选择的208例患者从手术室(OT)到PACU的切换。根据2006年澳大利亚医学协会和2004年英国医生委员会采用的标准,制定了清单。它经过了试点测试,并在实际数据收集之前进行了更改。
■我们的研究发现,在患者的领域中,专业人员的术后患者交接实践较差(低于50%)年龄,医疗登记号(MRN),ASA类,过敏史,病史,基线生命体征,术前诊断和外科手术。我们的研究还发现,关于术中失血9.6%,术后手部过度不良,术中临床事故5.3%,回收率为7.2%,术后镇痛计划18.8%,术后抗生素计划8.2%。然而,麻醉类型81.3%,术中生命体征80.8%,术中镇痛使用79.8%,术中液体管理占80.8%,完成率>50%.
■我们的研究发现,在社会人口统计学和术前资料方面,患者交接的做法不佳,麻醉,手术和其他必要的信息。我们相信标准化这一过程和提供培训将提高术后交接的质量和患者在这一关键时期的安全性。
UNASSIGNED: Good
handover creates a common understanding of responsibility and patients\' status. To proceed with effective
handover process, effective communication between healthcare providers plays a vital role. But, it is commonly observed that there is ineffective communication between health care providers and it increases the risk of medical errors and negatively affects the quality of care, patient outcome and satisfaction. In addition, the transfer of care after surgery to the postanesthesia care unit (PACU) presents special challenges to providers on both the delivering and receiving teams.
UNASSIGNED: A descriptive cross-sectional
study was conducted at post anesthesia care unit of Dilla University Referral Hospital from October 1 to November 30, 2020. To conduct the study, consecutively selected 208 handovers of patients from operation theatre (OT) to PACU were assessed. A checklist was developed based on a combination of criteria adopted from the Australian Medical Association 2006 and British Doctors Committee 2004. It was pilot tested and changes were made before the actual data collection.
UNASSIGNED: Our
study found that the postoperative patient
handover practice among professionals was poor (below 50%) in the areas of patients\' full name, age, medical registration number (MRN), ASA class, allergic history, medical history, baseline vital signs, preoperative diagnosis and surgical procedure performed. Our study also found poor postoperative hand overing regarding the intraoperative blood loss 9.6%, intraoperative clinical incidents 5.3%, recovery condition 7.2%, postoperative analgesia plan 18.8%, and post operative antibiotic plan 8.2%. Whereas, type of anesthesia 81.3%, intraoperative vital signs 80.8%, and intraoperative analgesia used 79.8%, intraoperative fluid management 80.8% were among the indicators with >50% completion rate.
UNASSIGNED: Our
study found a poor practice of patient
handover regarding sociodemographic and preoperative profile, anesthesia, surgery and other necessary information. We believe standardizing this process and providing training will improve the quality of postoperative handovers and the safety of patients during this critical period.