RESUMO
Handoffs are defined as the transfer of mission specific information and care authority from one healthcare professional to another. Handoffs may create gaps that are especially vulnerable to errors and may have an impact on patient safety. Conceptualising handoffs that are safe gains in importance in medicine with the growing clinical complexity, the reduction of working hours, and a great amount of care fragmentation. Different strategies on the handoff procedure have been identified to improve patient safety. An institutional approach with adaptations to the specific characteristics of each medical discipline is necessary.
Les transmissions médicales sont à risque de générer des discontinuités qui peuvent entraver la sécurité des patients. Avec la complexité croissante des situations cliniques, la réduction des heures de travail ainsi que la fragmentation des prises en charge, la conceptualisation de transmissions médicales sûres a gagné en importance dans le quotidien clinique. De nombreux modèles qui visent l'amélioration des transmissions médicales ont étés étudiés et se sont avérés efficaces pour augmenter la sécurité des patients. L'intégration d'un modèle de transmissions sûres nécessite un changement dans la culture institutionnelle ainsi qu'une approche adaptée aux spécificités de chaque discipline.
Assuntos
Transferência da Responsabilidade pelo Paciente , Segurança do Paciente , HumanosRESUMO
Little is known about hemispheric lateralization of subcortical structures. Here, we show a higher expression of the subunit NR2A of the NMDA receptor mRNA in the striatum and of vGluT1 mRNA in the cingulate cortex, in the left hemisphere compared to the right one. This suggests a lateralization of the glutamatergic cortico-subcortical system, at the level of postsynaptic receptors as well as at the level of corticostriatal projections. Such lateralization could play a role in asymmetric diseases like Parkinson's disease.