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首页> 外文期刊>BMC Medical Education >Am I getting an accurate picture: a tool to assess clinical handover in remote settings?
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Am I getting an accurate picture: a tool to assess clinical handover in remote settings?

机译：我能得到一张准确的图片吗：一种用于评估远程设置中的临床移交的工具？

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Good clinical handover is critical to safe medical care. Little research has investigated handover in rural settings. In a remote setting where nurses and medical students give telephone handover to an aeromedical retrieval service, we developed a tool by which the receiving clinician might assess the handover; and investigated factors impacting on the reliability and validity of that assessment. Researchers consulted with clinicians to develop an assessment tool, based on the ISBAR handover framework, combining validity evidence and the existing literature. The tool was applied ‘live’ by receiving clinicians and from recorded handovers by academic assessors. The tool’s performance was analysed using generalisability theory. Receiving clinicians and assessors provided feedback. Reliability for assessing a call was good (G?=?0.73 with 4 assessments). The scale had a single factor structure with good internal consistency (Cronbach’s alpha?=?0.8). The group mean for the global score for nurses and students was 2.30 (SD 0.85) out of a maximum 3.0, with no difference between these sub-groups. We have developed and evaluated a tool to assess high-stakes handover in a remote setting. It showed good reliability and was easy for working clinicians to use. Further investigation and use is warranted beyond this setting.
机译：良好的临床移交对于安全医疗至关重要。很少有研究调查农村地区的移交。在护士和医科学生将电话移交给航空医学检索服务的远程环境中，我们开发了一种工具，接收临床医生可以通过该工具评估移交;并调查了影响评估可靠性和有效性的因素。研究人员与临床医生协商，根据ISBAR移交框架，结合有效性证据和现有文献，开发了一种评估工具。该工具是通过接收临床医生“现场”使用的，以及来自学术评估师记录的移交的。使用通用性理论分析了该工具的性能。接收临床医生和评估者提供了反馈。评估通话的可靠性良好（G？=？0.73，进行了4次评估）。该量表具有内部一致性良好的单因素结构（Cronbach's alpha？=？0.8）。护士和学生的总体评分的小组平均值为2.30（SD 0.85），满分为3.0，这两个分组之间没有差异。我们已经开发并评估了一种工具，用于评估远程设置中的高风险切换。它显示出良好的可靠性，并且易于临床医生使用。除此设置外，还需要进一步的调查和使用。

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