Reed Stephen Halterman, Brittany Darnell, Chima Anukam, Elizabeth Wilkes, Shannon Broxton
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引用次数: 0
摘要
目的：事实证明，使用交接沟通工具（如核对表）可以改善沟通，减少遗漏重要的患者护理信息。然而，这些工具对患者治疗效果的影响尚未得到研究。在成人麻醉后护理病房成功实施交接清单后，对实施前后的患者预后进行了回顾性测量：设计：回顾性病历审查：将 2017 年 9 月实施清单前的 791 名患者与 2018 年 9 月实施清单后的 828 名患者进行比较。收集了两组麻醉后护理病房患者的疼痛评分、血氧饱和度和潮气末二氧化碳读数：核对清单后的患者表现出较轻的疼痛（30.8% vs 42.4%）和较少的不饱和发作（36.4% vs 44.8%）。两者的抢救时间没有明显差异：这项回顾性比较显示，在实施交接沟通工具后，术后初期患者的可测量结果有所改善。需要进行更多研究，以确定交接工具的使用与可测量的患者预后之间的直接相关性。
Evaluation of Postanesthesia Handoff Checklist on Patient Outcomes in an Adult Postanesthesia Care Unit.
Purpose: The use of handoff communication tools, such as checklists, has been shown to improve communication and decrease the omission of critical patient care information. However, the effect these tools have on patient outcomes has not been investigated. After successfully implementing a handoff checklist in an adult postanesthesia care unit, patient outcomes were retrospectively measured before and after the implementation.
Design: Retrospective chart review.
Methods: Seven hundred and ninety-one prechecklist patients in September 2017 were compared to 828 postchecklist patients in September 2018. Pain scores, oxygen saturation, and end-tidal CO2 readings were collected for postanesthesia care unit patients in both groups.
Findings: Postchecklist patients exhibited less severe pain (30.8% vs 42.4%) and fewer desaturation episodes (36.4% vs 44.8%). Time to rescue for both did not show a significant difference.
Conclusions: This retrospective comparison showed an improvement in measurable patient outcomes in the immediate postoperative period after the implementation of a handoff communication tool. More research is needed to determine the direct correlation between handoff tool use and measurable patient outcomes.
期刊介绍：
The Journal of PeriAnesthesia Nursing provides original, peer-reviewed research for a primary audience that includes nurses in perianesthesia settings, including ambulatory surgery, preadmission testing, postanesthesia care (Phases I and II), extended observation, and pain management. The Journal provides a forum for sharing professional knowledge and experience relating to management, ethics, legislation, research, and other aspects of perianesthesia nursing.
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