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- W2564985307 abstract "الأهداف: تحدد هذه الدراسة أفضل ممارسة لتسليم المناوبة طبية وتقدم أداة جديدة تستخدم لتسليم المسائل السريرية والتشغيلية في نهاية جميع التحولات والمناوبات في أقسام الطوارئ. الأساليب: تم ومراجعة استعراض التراث الطبي لهذا الموضوع. وبعد المقابلات شبه المنظمة والملاحظات لتسليم المناوبات. مع المشاركين من المقيمين والأخصائيين والاستشاريين و كبار الممرضات. تم التوصل الى عملية موحدة لتسليم المناوبة الطبية في قسم الطوارئ للتعرف على أفضل الممارسات المتفق عليها ، واشتقاق أداة لتصنيف المعلومات في الأقسام ذات الصلة. النتائج:المقابلات والاستطلاع حددت مجموعة متنوعة من العجز الحالي المتصورة في التسليم بما في ذلك الافتقار إلى الممارسة الموحدّة والهيكلية وقدم المشاركون أمثلة سلبية للتسليم التي أدت إلى أحداث ضارة على المرضى والعناية الطبية السريرية وشملت هذه التأخير في التحقيقات والعلاج للمرضى الذين تم تسليمهم مع معلومات موجزة أو غير دقيقة واستخدمت ردود الخبراء للتوصل إلى توحيد ‘أفضل ممارسات للمحتوى لتسليم المناوبة. الاستنتاجات وضعت أداة بسيطة لتوفير الأساس لتسليم المناوبة الطبية لأقسام ألطوارئ الذي يتضمن المعلومات السريرية والتشغيلية اللازمة لكفاءة ومنظمة للتحول المقبل. Objectives This study identifies best practice for shift handover and introduces a new tool used to handover clinical and operational issues at the end of all shifts in the emergency department (ED). Methods Literature review, semi-structured interviews and observations of handover were used to develop a standardized process for handover. Participants were ED residents, specialists, consultants and senior nurses. Interviews were used to identify agreed best practice and derive a tool to classify the information into relevant sections. Results Interviews identified a variety of perceived current deficits in handover including a lack of standardized practice and structure. Participants provided examples of poor handover that were thought to have led to adverse events; these included delay in investigations and treatment for patients who were handed over with brief or inaccurate information. There was wide variation in the understanding of the meaning and purpose of shift handover, and differences were apparent according to the level of experience the individuals interviewed. The experts’ responses were used to reach a unifying ‘best practice’ for the content of handover. Conclusions A simple tool was developed to provide the basis for medical shift handover, which includes clinical and operational information necessary for efficiency and organization of the next shift." @default.
- W2564985307 created "2017-01-06" @default.
- W2564985307 creator A5084073075 @default.
- W2564985307 date "2016-01-01" @default.
- W2564985307 modified "2023-09-26" @default.
- W2564985307 title "A Qualitative Study to Develop a New Tool for Handover in the Emergency Department" @default.
- W2564985307 doi "https://doi.org/10.5339/qfarc.2016.hbpp1098" @default.
- W2564985307 hasPublicationYear "2016" @default.
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