首页> 外文会议>Human Factors and Ergonomics Society annual meeting;HFES 2002 >EMERGENCY PHYSICIAN TO ADMITTING PHYSICIAN HANDOVERS: ANEXPLORATORY STUDY
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EMERGENCY PHYSICIAN TO ADMITTING PHYSICIAN HANDOVERS: ANEXPLORATORY STUDY

机译:紧急医生到批准处理汉诺威医生的探索性研究

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Current emphasis on the number of deaths due to medical errors has pushed the patient safety issuernto the forefront at many medical institutions. The Institute of Medicine's recommendation for improvedrncoordination and collaboration between physicians, as well as the paucity of related literature, has led thernauthors to explore the nature of the handover between emergency department and admitting physicians.rnResearch was conducted at two Ohio hospitals to document the phases and issues found in emergencyrndepartment (ED) handovers. The phases for ED handovers were similar to those found in shiftrnchanges in other types of industries (e.g., paper mill, air traffic control) with minor variations in the orderrnof the phases. Three areas were identified where potential errors could occur including the spoken communicationrnbetween physicians, selection of diagnostic tests based on the specific admitting physician, and thernuse of surrogates by the admitting physician. Physicians identified the level of trust in ED resident physicians,rnincomplete handovers between ED physicians at their shift change, differences in exams and treatmentrnplans based on admitting physician, and notification of possible admission prior to receiving resultsrnfor exams as potential problem areas.rnThe findings of this research illustrate the need for future research into physician communication. These studies have tremendous opportunity to enable the Institute of Medicine's goal of improving communicationrnbetween physicians for better patient care and outcomes.
机译:当前对由于医疗错误造成的死亡人数的重视已将患者安全问题推向了许多医疗机构的最前沿。美国医学会(Institute of Medicine)关于改善医师之间的协调与合作以及相关文献稀少的建议,导致作者探索急诊科与收治医师之间移交的性质。在俄亥俄州的两家医院进行了研究,以记录阶段和紧急部门(ED)移交中发现的问题。 ED移交的阶段与其他类型行业(例如造纸厂,空中交通管制)的轮班变更中发现的阶段相似,但阶段的变化很小。确定了可能发生潜在错误的三个区域,包括医师之间的口头交流,根据特定主治医师选择诊断测试以及由主治医师滥用代孕药物。医师确定了对ED驻院医师的信任程度,ED医师之间轮班变更的不完全移交,基于入院医师的考试和治疗计划的差异以及在接受考试结果之前通知可能入院的信息作为潜在的问题领域。研究表明未来需要进行医生交流的研究。这些研究有巨大的机会实现医学研究所的目标,即改善医师之间的交流以改善患者护理和治疗效果。

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