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Chinese Whispers in the Post Anaesthesia Care Unit (PACU)

机译:麻醉后监护室(PACU)的中国耳语

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摘要

We audited verbal handover of information by anaesthetists to recovery room nurses based on Situation, Background, Assessment and Recommendation. In Audit A, 100 handovers for elective procedures were included. For audit B, a second cohort of 100 patients was examined post educational session. There was an improvement in handover of medical background (46.15% Audit A, 77% Audit B, p0.001) and allergy status (42% Audit A, 56% Audit B, p= 0.048). Handing over immediate postoperative instructions remained unchanged (58% Audit A, 59% Audit B) and there was a 4% decline in verbal handover of instructions for ward care. Nurse satisfaction with handovers improved by 12%. We conclude that a structured process of information transfer, led to improved handover of immediate care. Further education focussed on the importance of instructions for the ward to maintain continuity of care is recommended.
机译:我们根据情况,背景,评估和建议,审核了麻醉师向康复室护士的口头移交信息。在审计A中,包括了100项选修程序的移交。对于审核B,在教育后检查了第二批100名患者。医学背景(46.15%的审核员A,77%的审核员B,p <0.001)和过敏状态(42%的审核员A,56%的审核员B,p = 0.048)的移交有所改善。立即移交术后指示仍保持不变(58%的审核员A,59%的审核员B),并且病房护理的言语交接下降了4%。护士对移交的满意度提高了12%。我们得出结论,信息传递的结构化过程导致即时护理的移交得到改善。建议继续教育,重点是指导病房保持护理连续性的重要性。

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