It Takes Two to Tango: Improving Patient Referrals from the Emergency Department to Inpatient Clinicians.

摘要: Background: The transfer of responsibility for patient care across clinical specialties is a complex process. Published and anecdotal data suggest that referrals often fail to meet the needs one or both parties focus can be lost during Little known about Australian situation. Methods: To obtain more complete understanding referral process, including nature communication in an context, we conducted semistructured interviews convenience sample 25 volunteers. Two established strategies analyzing qualitative were used. Results: All respondents considered following information essential components referral: account patient’s current condition, working diagnosis problem statement history presenting concern, key test results tests awaiting results, potential management plan, any special characteristics patient. Respondents acknowledged implied, if not literal, power accept reject emergency department (ED) said imbalance was reinforced when ED physician junior inpatient clinician. also noted addition predominant organizational culture, independent culture associated with specific shifts. Foremost among nonclinical aspects important timeliness contact made achieve transition. success depended on speaking listening abilities all parties. individual’s motivation have impact communication. Conclusion: attributed difficulty negotiating interface three distinct factors: variations required, organization team which transaction takes place, individuals involved Improving skills has improve outcomes.