J Biomed Inform - In search of common ground in handoff documentation in an Intensive Care Unit.

Tópicos

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Resumo

JECTIVE: Handoff is an intra-disciplinary process, yet the flow of critical handoff information spans multiple disciplines. Understanding this information flow is important for the development of computer-based tools that supports the communication and coordination of patient care in a multi-disciplinary and highly specialized critical care setting. We aimed to understand the structure, functionality, and content of nurses' and physicians' handoff artifacts.DESIGN: We analyzed 22 nurses' and physicians' handoff artifacts from a Cardiothoracic Intensive Care Unit (CTICU) at a large urban medical center. We combined artifact analysis with semantic coding based on our published Interdisciplinary Handoff Information Coding (IHIC) framework for a novel two-step data analysis approach.RESULTS: We found a high degree of structure and overlap in the content of nursing and physician artifacts. Our findings demonstrated a non-technical, yet sophisticated, system with a high degree of structure for the organization and communication of patient data that functions to coordinate the work of multiple disciplines in a highly specialized unit of patient care.LIMITATIONS: This study took place in one CTICU. Further work is needed to determine the generalizability of the results.CONCLUSIONS: Our findings indicate that the development of semi-structured patient-centered interdisciplinary handoff tools with discipline specific views customized for specialty settings may effectively support handoff communication and patient safety.

Resumo Limpo

jectiv handoff intradisciplinari process yet flow critic handoff inform span multipl disciplin understand inform flow import develop computerbas tool support communic coordin patient care multidisciplinari high special critic care set aim understand structur function content nurs physician handoff artifactsdesign analyz nurs physician handoff artifact cardiothorac intens care unit cticu larg urban medic center combin artifact analysi semant code base publish interdisciplinari handoff inform code ihic framework novel twostep data analysi approachresult found high degre structur overlap content nurs physician artifact find demonstr nontechn yet sophist system high degre structur organ communic patient data function coordin work multipl disciplin high special unit patient carelimit studi took place one cticu work need determin generaliz resultsconclus find indic develop semistructur patientcent interdisciplinari handoff tool disciplin specif view custom specialti set may effect support handoff communic patient safeti

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