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Detecting Differences in Communication During Two Types of Patient Handovers: A Linguistic Construct Categorization Approach

机译:在两种类型的患者移交过程中检测沟通差异:一种语言构造分类方法

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Patient handovers are a critical point in the patient care process. Software to identify differences in communicationcontent and strategies across different types of patient handovers could be helpful in customizing physician trainingprograms. To determine whether there were differences, Linguistic Inquiry and Word Count (LIWC) software wasused. The primary measure was the LIWC output score, which is the frequency of mention of words in a constructcategory divided by the total number of words in the handover transcript. Two types of constructs were investigated:1) content, which included name/age, care plan, prognosis, and family, and 2) strategy, which included questioningand collaborative cross-checks. We hypothesized that the Emergency Department (ED) to hospital transfercompared to Intensive Care Unit (ICU) sign-outs would have more discussion of family and less of the patient’sprognosis, as well as more collaborative cross-checks. A two-tailed t-test was used to detect differences. Onehypothesis was confirmed, that there was less discussion of prognosis in the ED as compared to the ICU handover.Unexpected findings were less discussion of the care plan and more questioning in the ED as compared to the ICUhandover. Findings confirm that both communication content and strategies are different for the two types of patienthandovers and that an automated analysis approach can detect differences across a set of handover transcripts.
机译:患者移交是患者护理过程中的关键点。识别沟通差异的软件 不同类型患者移交的内容和策略可能有助于定制医师培训 程式。为了确定是否存在差异,使用了语言查询和字数统计(LIWC)软件 用过的。主要指标是LIWC输出得分,这是一个结构中单词提及的频率 类别除以切换笔录中的单词总数。研究了两种类型的构造: 1)内容,包括姓名/年龄,护理计划,预后和家庭,以及2)策略,包括提问 和协作式交叉检查。我们假设急诊科要转院 与重症监护室(ICU)签出相比,对家庭的讨论更多,而对患者的讨论则更少 预后以及更多协作式交叉检查。使用两尾t检验来检测差异。一 假设得到证实,与ICU移交相比,急诊中关于预后的讨论较少。 与ICU相比,意想不到的发现是对护理计划的讨论较少,而急诊室的质疑更多 交出。研究结果证实,两种类型患者的交流内容和策略均不同 自动化分析方法可以检测出一组移交笔录之间的差异。

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