An analysis of messages sent between nurses and physicians in deteriorating internal medicine patients to help identify issues in failures to rescue

Wong, Hannah J.; Bierbrier, Rachel; Ma, Philip; Quan, Sherman; Lai, Sannie; Wu, Robert

doi:10.1016/j.ijmedinf.2017.01.008

Cited by 17 publications

(22 citation statements)

References 23 publications

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“…Authors reported significant correlation with in-hospital survival and the number of SBAR components in the CM. The authors suggest that the nurses' education on the use of the SBAR tool for communicating the critical information to clinicians would improve the situation awareness and likely improve patient outcomes [54].…”

Section: Sbar Communication Tool For Handoffmentioning

confidence: 99%

Situation, Background, Assessment, Recommendation (SBAR) Communication Tool for Handoff in Health Care – A Narrative Review

2018

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Continuity of patient care is achieved by the clear and concise transfer of patient clinical information from one health care provider to another during handoff. Effective communication is a vital factor in providing safe patient care. Communication failure in a health care setting could lead to serious medical errors. Sharing patient-specific health care information during handoff requires situational awareness. In the hospital setting, most of the communication related to patient care occurs between nurses and physicians.

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Section: Sbar Communication Tool For Handoffmentioning

confidence: 99%

Situation, Background, Assessment, Recommendation (SBAR) Communication Tool for Handoff in Health Care – A Narrative Review

2018

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“…Because of the limitation of experimental condition, two weeks between the repeated scales are used to examine test-retest reliability in our study, which might occur the inter-individual variation. 36 In this study, we showed that the Bayesian network model can work well in a biased data set because a large number of predictor variables are categorical. The results of Bayesian networks showed that the important predictors are education, PEPPI 3 and PCSS 1.…”

Section: Discussionmentioning

confidence: 91%

Validation of the Chinese Version of the Patient’s Communication Perceived Self-Efficacy Scale (PCSS) in Outpatients After Total Hip Replacement

Liu¹,

Zhao²,

Capone³

et al. 2021

PPA

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Background: Among older people in the world, older patients' communication has become a public health issue of vital importance. Such communication could be improved by different interventions. However, a means of measuring patient's communication confidence in these measures has not been established in China. This study is aimed at translating and introducing the Patient's Communication Self-Efficacy Scale for communication between doctors and patients after total hip replacement. Method: (1) A questionnaire was completed after a consultation by 167 patients (mean age = 70.04 years; SD: 6.3 years; females/males: 94/73). Translation of the original English version PCSS into the Chinese; (2) Validation of the final Chinese version of the PCSS. Measurement indexes included item generation, reliability testing, construct validity and test-retest reliability. To actualize the above test, we used SPSS 19.0 software and LISREL 8.7. We build the Bayesian Network Model of the Chinese version of the PCSS and determined predictive variables. Result: Confirmatory factor analysis showed that the Chinese version of the PCSS has fit a three-dimensional model. Meanwhile, the Chinese version of the PCSS has high internal consistency (Cronbach's α coefficient 0.929) and test-retest reliability (Kappa coefficient 0.761). Analysis using Bayesian networks shows that the important predictors are education (0.4207), PEPPI 3(0.3951), and PCSS 1(0.1139). The connections between PCSS 3 and other variables do not indicate causality, conditional dependencies or inter-relatedness. Conclusion: This is the first study to validate the Chinese version of the PCSS in outpatients after total hip replacement. Our results confirmed that the Chinese version of the scale has high internal consistency, construct validity and test-retest reliability. And the patient-doctor interaction and education are important predictors of patient's communication self-efficacy.

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“…One paper highlighted the role of communication between clinicians. Wong et al [49] reported messages between nurses and physicians with information on the calling criteria before the ICU transfer in about 39% of patients, but only 45% of messages included two or more vital signs.…”

Section: Resultsmentioning

confidence: 99%

“…Poor communication between nurses and physicians in the reviewed studies was expressed by the low quality of critical messages on patient deterioration and the positive relationship between the quality of messages and hospital survival [49]. Similarly, a previous study indicated the role of inadequate communication between clinicians in management of patient deterioration [82].…”

Section: Discussionmentioning

confidence: 99%

Performance of the Afferent Limb of Rapid Response Systems in Managing Deteriorating Patients: A Systematic Review

Difonzo

2019

Critical Care Research and Practice

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Introduction The clinical components of the rapid response system (RRS) are the afferent limb, to ensure identification of in-hospital patients who deteriorate and activation of a response, and the efferent limb, to provide the response. This review aims to evaluate the factors that influence the performance of the afferent limb in managing deteriorating ward patients and their effects on patient outcomes. Methods A systematic review was performed for the years 1995–2017 by employing five electronic databases. Articles were included assessing the ability of the ward staffs to monitor, recognize, and escalate care to patient deterioration. The findings were summarized using a narrative approach. Results Thirty-one studies met the inclusion criteria. The analysis revealed major themes enclosing several factors affecting management of patients having sudden deterioration. The monitoring and recognition process was conditioned by the lack of recording of physiological parameters, the influence of facilitators, including staff education and training, and barriers, including human and environmental factors, and poor compliance with the calling criteria. The escalation of care process highlighted the influence of cultural barriers and personal judgment on RRS activation. Mainly, delayed team calls were factors strongly associated with the increased risk of unplanned admissions to the intensive care unit and length of stay, hospital length of stay and mortality, and 30-day mortality. Conclusions A combination of factors affects the timely identification and response to sudden deterioration by general ward staffs, leading to suboptimal care of patients, delayed or failed activation of RRS teams, and increased risks of worsening outcomes. The research efforts and clinical involvement to improve the governance of the factors limiting the performance of the afferent limb may ensure proper management of hospitalized patients showing physiological deterioration.

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An analysis of messages sent between nurses and physicians in deteriorating internal medicine patients to help identify issues in failures to rescue

Cited by 17 publications

References 23 publications

Situation, Background, Assessment, Recommendation (SBAR) Communication Tool for Handoff in Health Care – A Narrative Review

Situation, Background, Assessment, Recommendation (SBAR) Communication Tool for Handoff in Health Care – A Narrative Review

Validation of the Chinese Version of the Patient’s Communication Perceived Self-Efficacy Scale (PCSS) in Outpatients After Total Hip Replacement

Performance of the Afferent Limb of Rapid Response Systems in Managing Deteriorating Patients: A Systematic Review

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