Cognitive support for a better handoff: does it improve the quality of medical communication at shift change in an emergency department?
Eur J Emerg Med
; 22(3): 192-8, 2015 Jun.
Article
em En
| MEDLINE
| ID: mdl-22922494
ABSTRACT
AIM:
To improve the communication during shift handover in an emergency department.METHODS:
We observed the handover process and analysed the discourse between physicians at shift change first, and then we created two cognitive tools and tested their clinical impact on the field. We used different measures to evaluate this impact on the health care process including the frequency and type of information content communicated between physicians, duration of the handoff, physician self-evaluation of the quality of the handoff and a posthandover study of patient handling.RESULTS:
Our results showed that the patient's medical history, significant test results, recommendations (treatment plan) and patient follow-up were communicated to a greater extent when the tools are used. We also found that physicians spent more time at the bedside and less time consulting medical records using these tools.CONCLUSION:
The present study showed how in-depth observations and analyses of real work processes can be used to better support the quality of patient care.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Sistemas de Alerta
/
Serviço Hospitalar de Emergência
/
Melhoria de Qualidade
/
Transferência da Responsabilidade pelo Paciente
Tipo de estudo:
Guideline
Limite:
Humans
Idioma:
En
Ano de publicação:
2015
Tipo de documento:
Article