A Conceptual Framework for Studying the Safety of Transitions in Emergency Care

摘要: Abstract : In health care organizations, the division of labor and a need for continuous, 24-hour treatment subjects patients to multiple transitions in care. These transitions, "handovers" are potential points failure that have seen very little study. We observed five hospital emergency departments as part larger study on safety found addition many other differences work patterns among various hospitals, different sorts handovers occurred contexts, these appeared reflect common structure. Using observations, we proposed conceptual framework characterizing handover events. The ability characterize certain types may help clarify future studies, while assisting development interventions better fit context clinical work.