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首页> 外文期刊>Quality management in health care >Patient-Centered Handovers: Ethnographic Observations of Attending and Resident Physicians: Ethnographic Observations of Attending and Resident Physicians
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Patient-Centered Handovers: Ethnographic Observations of Attending and Resident Physicians: Ethnographic Observations of Attending and Resident Physicians

机译：以病人为中心的移交：主治医师和常驻医师的人种志观察：主治医师和常驻医师的人种志观察

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Handover communication improvement initiatives typically employ a one size fits all approach. A human factors perspective has the potential to guide how to tailor interventions to roles, levels of experience, settings, and types of patients. We conducted ethnographic observations of sign-outs by attending and resident physicians in 2 medical intensive care units at one institution. Digitally audiotaped data were manually analyzed for content using codes and time spent using box plots for emergent categories. A total of 34 attending and 58 resident physician handovers were observed. Resident physicians spent more time for soon to be discharged and higher concern patients than attending physicians. Resident physicians spent less time discussing patients which they had provided care for within the last 3 days (handbacks). The study suggested differences for how handovers were conducted for attending and resident physicians for 3 categories of patients; handovers differ on the basis of role or level of expertise, patient type, and amount of prior knowledge of the patient. The findings have implications for new directions for subsequent research and for how to tailor quality improvement interventions based upon the role, level of experience, level of prior knowledge, and patient categories.
机译：移交通信改进计划通常采用一种适合所有情况的方法。人为因素的观点有可能指导如何根据患者的角色，经验水平，设置和类型来定制干预措施。我们在一间机构的2个医疗重症监护病房中由主治医师和住院医师对退出情况进行了人种学观察。使用代码手动分析了数字录音数据的内容，并使用了箱形图显示紧急类别所花费的时间。观察到总共34位主治医生和58位住院医生交接。住院医师比主治医师花费更多的时间来尽快出院并引起更高的关注度。住院医师花费更少的时间讨论在过去3天内为他们提供护理的患者（递减）。这项研究提出了对3种类型的患者的主治医师和住院医师进行移交的方式的差异。移交根据专业的作用或水平，患者类型以及患者的先验知识而有所不同。这些发现对于后续研究的新方向以及如何根据角色，经验水平，先验知识水平和患者类别制定质量改进干预措施具有重要意义。

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