Adaptation of a Postoperative Handoff Communication Process for Children With Heart Disease: A Quantitative Study
作者： Jerome Gene Chen , Melanie C. Wright , Phillip Brian Smith , James Jaggers , Kshitij P. Mistry
关键词:
摘要: Handoff communication is a point of vulnerability when valuable patient information can be inaccurate or omitted. An institutional protocol was implemented in 2005 to improve the handoff from operating room intensive care unit after pediatric cardiac surgery. A cross-sectional study present process performed understand how users adapt intervention over time. Twenty-nine events were observed. Individuals required for at 97% events. Content items averaged 53% reporting rate. Some clinical not specified demonstrated higher rate, such as echocardiogram results (68%) and vascular access (79%). mean 2.3 environmental distractions per minute noted. Participant-directed adjustments content suggest that facilitator improvement user-centered innovation. Future interventions should reduce nonessential incorporate discussion anticipated course.
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