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1.
J. healthc. qual. res ; 36(1): 12-18, ene.-feb. 2021. tab
Artigo em Espanhol | IBECS | ID: ibc-196571

RESUMO

ANTECEDENTES Y OBJETIVO: La calidad asistencial se ha podido ver afectada por las dimensiones de la pandemia de COVID-19 y el estricto aislamiento hospitalario al que han sido sometidos los pacientes. Por ello, se plantea describir el proceso diseñado para facilitar la comunicación de los pacientes aislados con sus familias, detectar sus necesidades y realizar intervenciones individualizadas. MÉTODO: Estudio cualitativo con metodología de investigación acción, respondiendo al siguiente algoritmo: planificar la acción, diagnóstico de la necesidad e hipótesis-acción; aplicar la acción, creación del grupo de gestores de casos y formación de los miembros; observar la acción, recoger y analizar la información. Durante el mes de abril del 2020. RESULTADOS: Se realizaron 1.754 interacciones que afectaron a 490 pacientes. Los gestores de casos realizaron 767 llamadas dirigidas principalmente a facilitar información sobre el ingreso (71,45%) y cambios de ubicación o funcionamiento de las unidades (18,84%). Recibieron un total de 1.098 llamadas de familiares solicitando: información médica (43,8%), comunicación con los pacientes (18,48%), entrega de enseres personales o gestión de objetos extraviados (12,84%) e información sobre la ubicación del paciente o gestión del alta (10,20%). En el 66% de los casos las llamadas fueron resueltas por los gestores, el 30% fueron derivadas y el 4% fallidas. CONCLUSIONES: La puesta en funcionamiento del grupo de gestores de casos ha contribuido a mejorar la comunicación de los pacientes ingresados y aislados por COVID-19 con sus familias, dando respuesta a las necesidades planteadas, mejorando la calidad asistencial y favoreciendo la humanización en los cuidados


BACKGROUND AND GOAL: Quality of healthcare has been affected by the current dimensions of the COVID-19 pandemic and the strict hospital isolation to which some inpatients have been subjected. Therefore, we propose to describe the process designed to facilitate the communication of inpatients with their families to detect their needs and perform individualized treatments in each case. METHOD: Qualitative study with action research methodology, responding to the following algorithm: plan the action, diagnosis of the need and hypothesis-action; apply the action, creation of the group of case managers and training of the members; observe the action, collect and analyse the information. During the month of April 2020. RESULTS: 1,754 interactions were undertaken, that affected 490 inpatients. Case Managers made 767 calls, to provide information about admissions (71.45%), changes in inpatient location or operation of units (18.84%), among others. One thousand and ninety-eight calls from family members were received requesting medical information (43.8%), to talk to inpatients (18.48%), to deliver personal articles or manage lost objects (12.84%), and seeking information about patient location or medical discharge (10.20%). Sixty-six percent of the requests were solved by Case Managers, 30% were referred on and 4% could not be solved. CONCLUSIONS: Implementation of the Case Manager Group contributed to encourage communication of inpatients isolated due to COVID-19 with their families, responding to needs raised, improving quality of care and promoting humanization of care


Assuntos
Humanos , Infecções por Coronavirus , Pneumonia Viral , Pandemias , Comunicação , Sistemas de Comunicação no Hospital , Família , Isolamento de Pacientes , Humanização da Assistência
2.
Biomed Instrum Technol ; 54(4): 251-257, 2020 Jul 01.
Artigo em Inglês | MEDLINE | ID: mdl-33171501

RESUMO

Hospital noise is associated with adverse effects on patients and staff. Communication through overhead paging is a major contributor to hospital noise. Replacing overhead paging with smartphones through a clinical mobility platform has the potential to reduce transitory noises in the hospital setting, though this result has not been described. The current study evaluated the impact of replacing overhead paging with a smartphone-based clinical mobility platform on transitory noise levels in a labor and delivery unit. Transitory noises were defined as sound levels greater than 10 dB above baseline, as recorded by a sound level meter. Prior to smartphone implementation, 77% of all sound levels at or above 60 dB were generated by overhead paging. Overhead pages occurred at an average rate of 3.17 per hour. Following smartphone implementation, overhead pages were eliminated and transitory noises decreased by two-thirds (P < 0.001). The highest recorded sound level decreased from 76.54 to 57.34 dB following implementation. The percent of sounds that exceeded the thresholds recommended by the Environmental Protection Agency and International Noise Council decreased from 31.2% to 0.2% following implementation (P < 0.001). Replacement of overhead paging with a clinical mobility platform that utilized smartphones was associated with a significant reduction in transitory noise. Clinical mobility implementation, as part of a noise reduction strategy, may be effective in other inpatient settings.


Assuntos
Sistemas de Comunicação no Hospital , Smartphone , Hospitais , Humanos , Ruído
4.
Ann Ist Super Sanita ; 56(3): 365-372, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32959803

RESUMO

INTRODUCTION: On 21 February 2020, Schiavonia Hospital (SH) detected the first 2 cases of COVID-19 in Veneto Region. As a result of the underlying concomitant spread of infection, SH had to rearrange the clinical services in terms of structural changes to the building, management of spaces, human resources and supplies, in order to continue providing optimal care to the patients and staff safety. The aim of this article is to describe how SH was able to adjust its services coping with the epidemiological stages of the pandemic. MATERIAL AND METHODS: Three periods can be identified; in each one the most important organizational modifications are analyzed (hospital activities, logistical changes, communication, surveillance on HCW). RESULTS: The first period, after initial cases' identification, was characterized by the hospital isolation. In the second period the hospital reopened and it was divided into two completely separated areas, named COVID-19 and COVID-free, to prevent intra-hospital contamination. The last period was characterized by the re-organization of the facility as the largest COVID Hospital in Veneto, catching exclusively COVID-19 patients from the surrounding areas. CONCLUSIONS: SH changed its organization three times in less than two months. From the point of view of the Medical Direction of the Hospital the challenges had been many but it allowed to consolidate an organizational model which could answer to health needs during the emergency situation.


Assuntos
Betacoronavirus , Infecções por Coronavirus , Hospitais Estaduais/organização & administração , Pandemias , Pneumonia Viral , Conversão de Leitos , Betacoronavirus/isolamento & purificação , Técnicas de Laboratório Clínico , Infecções por Coronavirus/diagnóstico , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/prevenção & controle , Infecções por Coronavirus/terapia , Infecção Hospitalar/prevenção & controle , Infecção Hospitalar/transmissão , Fechamento de Instituições de Saúde , Sistemas de Comunicação no Hospital , Departamentos Hospitalares , Hospitais Estaduais/estatística & dados numéricos , Humanos , Controle de Infecções , Unidades de Terapia Intensiva , Itália/epidemiologia , Nasofaringe/virologia , Doenças Profissionais/prevenção & controle , Política Organizacional , Ambulatório Hospitalar/organização & administração , Pandemias/prevenção & controle , Isolamento de Pacientes , Equipamento de Proteção Individual , Pneumonia Viral/diagnóstico , Pneumonia Viral/epidemiologia , Pneumonia Viral/prevenção & controle , Pneumonia Viral/terapia , Gestão de Riscos , Recursos Humanos
5.
BMC Med Inform Decis Mak ; 20(1): 180, 2020 08 05.
Artigo em Inglês | MEDLINE | ID: mdl-32758220

RESUMO

BACKGROUND: User satisfaction with PACS is considered as one of the important criteria for assessing success in using PACS. The objective of this study was to determine the level of user satisfaction with PACS and to compare its functional features with traditional film-based systems. METHODS: This study was conducted in 2017. Residents at three large university hospitals in Kerman filled-out a self-administered questionnaire consisting of three parts: demographic information of participants, user satisfaction with PACS, comparing features of the two digital and traditional imaging systems. The validity of this questionnaire was approved by five medical informatics, radiology, and health information management specialists and its reliability was confirmed by Cronbach's alpha (86%). Data were analyzed using descriptive statistics and the Spearman, Mann Whitney U and Kruskal-Wallis statistical tests. RESULTS: The mean of the participants' ages was 31.4 (±4.4) years and 59% of the participants were females. The mean of physicians' satisfaction with PACS' had no significant relationship with their age (P = 0.611), experience of using PACS (P = 0.301), specialty (P = 0.093), and percent of interpretation of images with PACS (P = 0.762). It had a significant relationship with the participants' computer skills (P = 0.022). CONCLUSIONS: The mean of physicians' satisfaction with PACS was at a moderate to a high level, yet there are still problems in the successful implementation of these systems and establishing interoperability between them. PACS has not fully met all the demands of physicians and has not achieved its predetermined objectives, such as all-access from different locations.


Assuntos
Atitude do Pessoal de Saúde , Satisfação Pessoal , Médicos/psicologia , Intensificação de Imagem Radiográfica , Sistemas de Informação em Radiologia , Radiologia , Adulto , Atitude Frente aos Computadores , Feminino , Sistemas de Comunicação no Hospital , Humanos , Masculino , Pessoa de Meia-Idade , Reprodutibilidade dos Testes , Inquéritos e Questionários
6.
Clin Med (Lond) ; 20(5): e160-e162, 2020 09.
Artigo em Inglês | MEDLINE | ID: mdl-32620592

RESUMO

Appropriate dissemination of information to the general public is a key component of the pandemic response. In 2018, recorded infection control advice messages were affixed to 30% of England's automated hospital switchboards during the seasonal influenza and norovirus outbreaks. As the majority of messages were mandatory for all callers, healthcare professionals using the hospital switchboard - including during time-critical emergencies - had their enquiries significantly delayed by these measures. Importantly, published analyses did not demonstrate an association between these messages and patient outcomes. As of May 2020, 85% of NHS trusts made use of infection control messages; on average, these delayed healthcare professionals by 59.4 seconds per call, but had no clear association with patient outcomes from COVID-19. An ongoing national switchboard quality improvement project seeks to establish a gold standard whereby healthcare professionals with urgent enquiries can press 'X' to skip past infection control messages and have their calls triaged immediately.


Assuntos
Controle de Doenças Transmissíveis/organização & administração , Infecções por Coronavirus/epidemiologia , Sistemas de Comunicação no Hospital/organização & administração , Controle de Infecções/organização & administração , Disseminação de Informação/métodos , Pandemias/estatística & dados numéricos , Pneumonia Viral/epidemiologia , Infecções por Coronavirus/prevenção & controle , Feminino , Humanos , Comunicação Interdisciplinar , Masculino , Pandemias/prevenção & controle , Pneumonia Viral/prevenção & controle , Prevalência , Medição de Risco , Análise de Sobrevida , Reino Unido
8.
Can J Surg ; 63(2): E155-E160, 2020 03 27.
Artigo em Inglês | MEDLINE | ID: mdl-32216252

RESUMO

Background: Pages to house staff after hours, especially overnight, lead to interrupted sleep and fatigue the next day. Although some pages are urgent, others may not need an immediate response. In this study we aimed to identify unwarranted pages and to establish ways to reduce them. Methods: Over 2 months, all pages to the Department of Pediatric Urology at the Hospital for Sick Children in Toronto, Canada, during call hours were documented, including the assessment of the responding physicians of their medical necessity. After analyzing the reasons for inappropriate pages, we took several steps to try to reduce them without impairing patient care. One year later, pages were tracked again to evaluate the efficacy of our interventions. Results: In the initial measurement period, no calls from parents and approximately 50% of the in-hospital pages (15 of 36 pages from the wards, 27 of 49 pages from the emergency department, 17 of 31 pages requesting consultations, and 8 of 8 pages from the inhouse pharmacy and outside pharmacies) were considered medically urgent. The reasons for unwarranted pages were inconsistent parent teaching, lack of adequate triaging and prioritizing on the ward and lack of awareness of the structure of the on-call provisions among different services in the hospital. Several steps were taken to streamline the teaching of parents and nurses, standardize information, provide alternative means of communication within the hospital and restrict parents' access by phone to the urologist on call. One year later, the number of pages had decreased by 70%. Conclusion: Although physician coverage throughout the day and night is necessary for high-quality and safe patient care, communication with on-call physicians should be only for appropriate reasons. The provision of consistent teaching and alternative communication channels can improve patient care as well as decrease the number of after-hour pages.


Assuntos
Plantão Médico , Eficiência Organizacional , Sistemas de Comunicação no Hospital , Carga de Trabalho , Canadá , Comunicação , Bolsas de Estudo , Hospitais Pediátricos , Humanos , Internato e Residência , Pais/educação , Educação de Pacientes como Assunto , Urologia
9.
Lab Med ; 51(1): e6-e11, 2020 Jan 02.
Artigo em Inglês | MEDLINE | ID: mdl-31414127

RESUMO

BACKGROUND: Timely communication of critical laboratory results is important yet cumbersome. OBJECTIVE: To assess the impact of a new technology on the process of reporting critical laboratory results at our 480-bed, adult/children, tertiary-care, medical school-affiliated health center in the southeastern region of the United States. METHODS: We changed the process of reporting critical values by telephone only to reporting via telephone and a secure messaging app. Physician order entry, an online on-call roster for availability, and support from the C-suite (executive branch of the organization) were instrumental in implementation. RESULTS: Consistently, before our process changes, more than 95% of the critical laboratory results were reported in less than 30 minutes. Use of the app reduced the time taken for reporting results. The need to involve pathology residents and attending physicians in reporting has been eliminated by this process. DISCUSSION: Secure messaging has facilitated the reporting of critical laboratory values, making it more efficient and providing a reliable record of the process. This process meets or exceeds the standards of the accrediting agencies. The method is suitable for activating rapid-response teams in case of hypercritical values.


Assuntos
Segurança Computacional/normas , Valores Críticos Laboratoriais , Envio de Mensagens de Texto/normas , Adulto , Criança , Sistemas de Informação em Laboratório Clínico/normas , Feminino , Sistemas de Comunicação no Hospital/normas , Hospitais Universitários , Humanos , Masculino , Aplicativos Móveis/normas , Garantia da Qualidade dos Cuidados de Saúde , Centros de Atenção Terciária , Estados Unidos
10.
Acad Med ; 95(1): 104-110, 2020 01.
Artigo em Inglês | MEDLINE | ID: mdl-31299036

RESUMO

PURPOSE: To characterize the methods of inpatient consult communication, given new communication modalities; to explore residents' and fellows' perspectives on the ideal consult and how this consult could affect their teaching, learning, and patient safety; and to identify barriers to and strategies for optimizing consultations. METHOD: Using qualitative grounded theory, the authors conducted semistructured focus groups with pediatric residents and fellows at Lucile Packard Children's Hospital at Stanford University from October 2016 to September 2017, using questions developed by expert consensus to address study objectives. Sessions were audiorecorded and transcribed verbatim. Two authors independently coded the transcripts and reconciled codes to develop categories and themes using constant comparison. The third author validated the codes, categories, and themes. To ensure trustworthiness, participants edited the themes for accuracy. RESULTS: Twenty-seven residents and 16 fellows participated in 7 focus groups (3 with residents, 4 with fellows). Four themes emerged: (1) Many forms of communication are successfully used for initial inpatient consult recommendations (in person, phone, text messages, notes in electronic medical records); (2) residents and fellows prefer in-person communication for consults, believing it leads to improved teaching, learning, and patient safety; (3) multiple strategies can optimize consults regardless of communication modality; and (4) how residents frame the initial consult affects the interaction and can increase fellow engagement, which leads to more fellow teaching, residents' improved understanding, and better patient care. CONCLUSIONS: Residents and fellows believe that structured initial consults conducted in person improve teaching, learning, and patient care. Several strategies exist to optimize this process.


Assuntos
Sistemas de Comunicação no Hospital/tendências , Pacientes Internados/estatística & dados numéricos , Internato e Residência/normas , Encaminhamento e Consulta/normas , Confiabilidade dos Dados , Educação de Pós-Graduação em Medicina/métodos , Estudos de Avaliação como Assunto , Feminino , Grupos Focais , Humanos , Aprendizagem/fisiologia , Masculino , Segurança do Paciente/normas , Pediatria , Encaminhamento e Consulta/tendências , Ensino/estatística & dados numéricos , Ensino/tendências , Estados Unidos/epidemiologia
11.
Med J Aust ; 211(11): 514-517, 2019 12.
Artigo em Inglês | MEDLINE | ID: mdl-31813173

RESUMO

OBJECTIVES: To determine whether gendered symbols on patient call bells are restricted to our hospital or are examples of an international practice that perpetuates gender stereotypes and occupational segregation. SETTING: Multicentre, international study of hospital equipment, 2018. MAIN OUTCOME MEASURE: Types of symbols on patient call bells. RESULTS: We received 56 responses from 43 hospitals in eight countries across five continents: 37 devices included female-specific images, nine included gender-neutral images, and ten did not use imagery (for example, button-only devices). No call bells included male-specific images. CONCLUSION: Female symbols on patient call bells are an international phenomenon. Only female or gender-neutral images are used, indicating bias in their design, manufacture, and selection. Female symbols may reinforce gender stereotypes and contribute to occupational segregation and reduced equity of opportunity. We suggest alternative symbols. Individual action with coloured marker pens may provide a pragmatic short term, albeit provocative, solution. While call bell design has only a minor impact on patients, everyday bias affects all staff and society in general.


Assuntos
Sistemas de Comunicação no Hospital/estatística & dados numéricos , Defesa do Paciente/estatística & dados numéricos , Sexismo , Viés , Feminino , Saúde Global , Humanos , Masculino , Preferência do Paciente/estatística & dados numéricos , Satisfação do Paciente
12.
BMC Health Serv Res ; 19(1): 992, 2019 Dec 23.
Artigo em Inglês | MEDLINE | ID: mdl-31870370

RESUMO

BACKGROUND: Frequent pages can disrupt workflow, interrupt patient care, and may contribute to physician burnout. We hypothesized that paging volumes followed consistent temporal trends, regardless of the medical or surgical service, reflecting systems based issues present in our hospitals. METHODS: A retrospective review of the hospital paging systems for 4 services at The Ottawa Hospital was performed. Resident paging data from April 1 to July 31, 2018 were collected for services with a single primary pager number including orthopaedic surgery, general surgery, neurology, and neurosurgery. Trends in paging volume during the 4-month period were examined. Variables examined included the location of origin of the page (emergency room vs. inpatient unit), and day/time of the page. RESULTS: During the study period, 25,797 pages were received by the 4 services, averaging 211 (± Standard Deviation (SD) 12) pages per day. 19,371 (75%) pages were from in-patient hospital units, while 6426 (24%) were pages from the emergency room. The median interval between pages across all specialties was 22:30 min. Emergency room pages peaked between 16:30 and 20:00, while in-patient units peaked between 17:30 and 18:30. CONCLUSIONS: Each service experienced frequent paging with similar patterns of marked increases at specific times. This study identifies areas for future study about what the factors are that contribute to the paging patterns observed.


Assuntos
Sistemas de Comunicação no Hospital/estatística & dados numéricos , Médicos/psicologia , Centros de Atenção Terciária , Esgotamento Profissional , Canadá , Humanos , Assistência ao Paciente , Estudos Retrospectivos , Fluxo de Trabalho
13.
Jt Comm J Qual Patient Saf ; 45(10): 711-716, 2019 10.
Artigo em Inglês | MEDLINE | ID: mdl-31495578

RESUMO

BACKGROUND: Interprofessional hospital communication is vital for high-quality patient care. However, staff have reported that nursing pages are often sent to the wrong residents, leading to service delays, interruptions, and safety risks. The aim of this quality improvement project was to reduce day shift pages to general internal medicine (GIM) teams by 25% over 10 months by helping nurses page the right residents the first time. METHODS: This study was conducted at a Canadian tertiary academic hospital and involved three GIM teams on seven inpatient wards. The Model for Improvement was used to explore root causes and redesign how nurses and switchboard operators contacted residents. Multiple change ideas were tested: posting daily resident assignments on digital monitors, redirecting switchboard pages to internal medicine residents, and forwarding pagers in learning sessions. The primary outcome was the average number of pages/team/week to GIM residents. Evaluation was conducted with statistical process control charts and qualitative feedback. RESULTS: A total of 19,925 pages were reviewed from 226 resident shifts over 39 weeks. Average pages/team/week (Monday to Friday, 08:00 to 17:00) decreased by 38.3% (133 to 82) postimplementation. More nurses reported often or always knowing which residents were assigned to patients, increasing from 0% to 38.1%. Fewer residents reported often or always receiving pages about another resident's patient, decreasing from 50.0% to 26.7%. CONCLUSION: Quality improvement methods were used to streamline the paging process on GIM wards, resulting in fewer pages and improved communication efficiency.


Assuntos
Sistemas de Comunicação no Hospital/organização & administração , Medicina Interna/educação , Internato e Residência/organização & administração , Recursos Humanos de Enfermagem no Hospital/organização & administração , Melhoria de Qualidade/organização & administração , Centros Médicos Acadêmicos , Canadá , Sistemas de Comunicação no Hospital/normas , Humanos , Capacitação em Serviço , Internato e Residência/normas , Recursos Humanos de Enfermagem no Hospital/normas , Gestão da Segurança/organização & administração
14.
J Nurs Manag ; 27(7): 1554-1562, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31435994

RESUMO

AIM: We sought nurse managers' perspectives on challenges and opportunities with technology and how it may influence communication and leadership. BACKGROUND: e-Leadership is a conceptual framework used to understand and teach organisational leaders about the application of technology to leadership. Technology is integral to leadership, yet little is understood about how nurse managers may use this technology and how they negotiate the complexity of the multiple communication systems currently in use. METHODS: Sixteen nurse managers from individual hospitals within a large US healthcare system participated in qualitative open-ended interviews and focus groups. RESULTS: Four themes emerged from the qualitative data regarding the nurse managers' perspectives of e-Leadership and their use of information and communication technologies: (a) Can't live without it, (b) Too much, too many, (c) Poor onboarding education and (d) Difficulty maintaining virtual relationships. IMPLICATIONS FOR NURSING MANAGEMENT: Effective and safe patient care is dependent on multiple technology applications that require significant knowledge and practice. Nursing leadership may consider the need for more supported mentorship, and engaging programs to educate nurse managers about the dozens of applications required to effectively manage and lead. For technology to be used to its full potential it should be designed with nursing involvement.


Assuntos
Sistemas de Comunicação no Hospital/normas , Liderança , Enfermeiras Administradoras/psicologia , Percepção , Idoso , Feminino , Grupos Focais/métodos , Sistemas de Comunicação no Hospital/tendências , Humanos , Relações Interprofissionais , Entrevistas como Assunto/métodos , Masculino , Pessoa de Meia-Idade , Enfermeiras Administradoras/tendências , Pesquisa Qualitativa
15.
BMJ Open ; 9(6): e025930, 2019 06 16.
Artigo em Inglês | MEDLINE | ID: mdl-31209085

RESUMO

OBJECTIVES: The aim of this paper is to construct a theoretical framework for information and communication technology (ICT)-enabled partnership towards diabetes management. DESIGN: We conducted an inductive case study and held interviews on the development and use of an artificial pancreas (AP) system for diabetes management. SETTING: The study was carried out in the Netherlands with users of an AP system. PARTICIPANTS: We interviewed six patients with type 1 diabetes, five healthcare professionals (two medical specialists and three diabetes nurses), and one policy advisor from the Ministry of Health, Welfare and Sport. RESULTS: We built a new theoretical framework for ICT-enabled person-centred diabetes management, covering the central themes of self-managing the disease, shared analysing of (medical) data and experiencing the partnership. We found that ICT yielded new activities of data sharing and a new role for data professionals in the provision of care as well as contributed to carefree living thanks to the semiautomated management enabled by the device. Our data suggested that to enable the partnership through ICT, organisational adjustments need to be made such as the development of new ICT services and a viable financial model to support these services. CONCLUSION: The management of diabetes through ICT requires an adjustment of the partnership between persons with the chronic condition and the healthcare professional(s) in such a way that the potential for self-managing the condition by analysing the newly available (medical) data (from the AP system) together leads to an experience of partnership between patients and healthcare professionals.


Assuntos
Diabetes Mellitus Tipo 1/terapia , Sistemas de Comunicação no Hospital , Sistemas de Informação Hospitalar , Tecnologia da Informação , Autocuidado/métodos , Atitude do Pessoal de Saúde , Doença Crônica/terapia , Humanos , Modelos Teóricos , Países Baixos , Relações Profissional-Paciente
16.
Rev. Hosp. Ital. B. Aires (2004) ; 39(2): 36-42, jun. 2019. tab.
Artigo em Espanhol | LILACS | ID: biblio-1047848

RESUMO

La comunicación efectiva dentro de las organizaciones es uno de los factores más importantes para lograr un trabajo positivo y eficaz. Se realizó una investigación cuyo objetivo fue identificar y describir las herramientas de comunicación en el área de Quirófano Central del Hospital Italiano de Buenos Aires y las distintas perspectivas de los instrumentadores quirúrgicos respecto de su utilización. Métodos: se realizó un estudio de corte transversal con un componente de observación participativa de los medios de comunicación y una encuesta a los instrumentadores quirúrgicos de la institución. Resultados: se identificaron ocho tipos de herramientas de comunicación en el área quirúrgica. El correo electrónico (e-mail) como herramienta de comunicación es muy utilizado según los instrumentadores quirúrgicos, pero estos sugirieron otras herramientas más directas, como reuniones y capacitaciones solas o en combinación para determinados tipos de información. Conclusiones: los instrumentadores quirúrgicos utilizan una amplia gama de medios de comunicación en el área quirúrgica. La distribución de preferencias según el tipo de información indica que la elección de estos medios debería ser personalizada. (AU)


Effective communication within organizations is one of the most important factors to achieve a positive and effective work. An investigation was carried out and its objective was to identify and describe the communication tools in the surgical area of the Hospital Italiano de Buenos Aires and the different perspectives of the surgical nurses regarding its use. Methods: a cross-sectional study was carried out with a component of participative observation of the communication tools and a survey of the surgical nurses of the institution. Results: eight types of communication tools were identified in the surgical area. The implementation of email as a communication tool is widely used by surgical nurses, but they suggested other more direct tools such as meetings and training sessions alone or in combination for certain types of information. Conclusions: Surgical nurses use a wide range of communication tools in the surgical area. The distribution of preferences according to the type of information indicates that the choice of these tools should be personalized. (AU)


Assuntos
Humanos , Auxiliares de Cirurgia/tendências , Sistemas de Informação em Salas Cirúrgicas/organização & administração , Sistemas de Comunicação no Hospital/organização & administração , Salas Cirúrgicas/organização & administração , Sistemas de Informação em Salas Cirúrgicas/normas , Sistemas de Informação em Salas Cirúrgicas/estatística & dados numéricos , Comunicação , Congressos como Assunto , Correio Eletrônico/instrumentação , Capacitação Profissional
17.
Rev Gaucha Enferm ; 40(spe): e20180337, 2019.
Artigo em Português, Inglês | MEDLINE | ID: mdl-31038605

RESUMO

OBJECTIVE: To analyze the perception of health professionals and companions/family about the development of communication for patient safety in pediatric hospitalizations. METHOD: It is an exploratory-descriptive study with a qualitative approach, performed in pediatric clinical-surgical hospitalization units of three hospitals in Porto Alegre, RS, Brazil. 44 health professionals and 94 companions of hospitalized children participated in the study, to a total of 138 participants. Data collection took place between 2016 and 2017, through semi-structured interviews. A thematic content analysis was used. RESULTS: Two categories emerged: "Barriers to an effective communication", addressing the failures and difficulties in the communication process and "Tools to improve communication", that present recommendations for improvements, especially instrumentalization of the companion/family member. CONCLUSIONS: The barriers to an effective communication involve several factors, and effective communication strategies can assist in the development of improvements for pediatric patient safety.


Assuntos
Criança Hospitalizada , Barreiras de Comunicação , Sistemas de Comunicação no Hospital/organização & administração , Segurança do Paciente , Adolescente , Atitude do Pessoal de Saúde , Criança , Pré-Escolar , Família/psicologia , Amigos/psicologia , Comunicação em Saúde , Humanos , Lactente , Relações Interprofissionais , Entrevistas como Assunto , Equipe de Assistência ao Paciente , Recursos Humanos em Hospital/psicologia , Relações Profissional-Família , Relações Profissional-Paciente , Pesquisa Qualitativa
18.
Rev Gaucha Enferm ; 40(spe): e20180341, 2019.
Artigo em Português, Inglês | MEDLINE | ID: mdl-31038606

RESUMO

OBJECTIVE: To analyze the registry of the Transfer Note (NT) and the emission of the Modified Early Warning Score (MEWS) performed by the nurse in adult patients transferred from the Emergency Service as an effective communication strategy for patient safety. METHOD: A cross-sectional retrospective study developed at a teaching hospital in the South of Brazil that evaluated 8028 electronic medical records in the year 2017. A descriptive analysis was performed. RESULTS: NT reached the institutional target of 95% in January and February, falling below the target in other months. The MEWS measurement was performed in 85.6% (n = 6,870) of the medical records. Of these patients, 96.8% (n = 6,652) had unchanged MEWS. CONCLUSION: NT and MEWS are inserted in the work of the nurse, however, actions are needed to qualify patient safety, improving effective communication and therefore reducing the possibility of occurrence of adverse events.


Assuntos
Sistemas de Comunicação no Hospital , Registros Hospitalares , Avaliação em Enfermagem , Registros de Enfermagem , Segurança do Paciente , Transferência de Pacientes/organização & administração , Gestão de Riscos/métodos , Índice de Gravidade de Doença , Adulto , Brasil , Estudos Transversais , Registros Eletrônicos de Saúde , Serviço Hospitalar de Emergência , Controle de Formulários e Registros , Sistemas de Comunicação no Hospital/organização & administração , Hospitais de Ensino/organização & administração , Humanos , Papel do Profissional de Enfermagem , Indicadores de Qualidade em Assistência à Saúde , Estudos Retrospectivos , Medição de Risco , Gestão de Riscos/organização & administração
19.
Bull Cancer ; 106(6): 514-526, 2019 Jun.
Artigo em Francês | MEDLINE | ID: mdl-31126678

RESUMO

The emergence of oral cancer treatment in oncology has shifted patient follow-up from the hospital to the home. This trend has resulted in an increase in phone and e-mail interactions initiated by patients, but also by pharmacists, by liberal nurses, by general practitioners, and an increase in calls to the emergency response services (SAMU) both for real or perceived emergencies. This increased volume of patient and pharmacist communication has caused significant disruption in the daily activity of affected oncology departments and in particular of the secretariats. The procedures for formulating and securing appropriate responses within a short time frame are generally not established, and as a result, there is a risk that decisions made could be inappropriate for the patient's situation, especially in the case of complications.. Tracking responses to phone calls is necessary and answers should be noted in the medical file, including side effects, in particular the serious AEs for a good quality of care. This guideline describes best practices for oncologists who manage "incoming" calls from patients or professionals involved in the care pathway.


Assuntos
Antineoplásicos/uso terapêutico , Correio Eletrônico , Serviço Hospitalar de Emergência/organização & administração , Sistemas de Comunicação no Hospital/organização & administração , Neoplasias/tratamento farmacológico , Serviço Hospitalar de Oncologia/organização & administração , Guias de Prática Clínica como Assunto , Telefone , Administração Oral , Antineoplásicos/administração & dosagem , Antineoplásicos/efeitos adversos , Continuidade da Assistência ao Paciente , Serviço Hospitalar de Emergência/estatística & dados numéricos , Assistência Domiciliar , Humanos , Comunicação Interdisciplinar , Serviço Hospitalar de Oncologia/estatística & dados numéricos , Aceitação pelo Paciente de Cuidados de Saúde , Equipe de Assistência ao Paciente
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