What every intensivist should know about handovers in the intensive care unit

d’Empaire, Pablo Pérez; Amaral, Andre Carlos Kajdacsy-Balla

doi:10.5935/0103-507x.20170020

Cited by 2 publications

(5 citation statements)

References 16 publications

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“…No decorrer das passagens de plantão pode haver alguns erros por omissão em razão de distrações, informação desorganizada e confiança na memória. O corrompimento da informação provavelmente ocorre em razão de má formulação da mensagem, com escolha errônea das palavras, ou em virtude a um viés cognitivo, momento no qual o paciente possui diagnóstico confuso e é retratado no decurso da passagem de plantão como se houvesse diagnóstico estabelecido (Amaral et al, 2017).…”

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A comunicação para a segurança do paciente em passagem de plantão entre médicos de UTI em um hospital no interior do Paraná

Libânio,

Oliveira

2023

EACAD

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O Programa Nacional de Segurança do Paciente propõe um conjunto de medidas para prevenir e reduzir a ocorrência de incidentes nos serviços de saúde – eventos ou circunstâncias que poderiam resultar em dano desnecessário para o paciente. A passagem de plantão deve conter todas as informações indispensáveis para continuidade da assistência. Falhas nesse processo podem prejudicar a segurança do paciente, levando a um tratamento inadequado e com potencial perigo. O presente estudo visa analisar se a comunicação na passagem de plantão entre médicos de unidades de terapia intensiva ocorre de forma clara, objetiva e precisa, promovendo assim conhecimento a ser aplicado em processos que favoreçam a prática segura em saúde, no que se refere à comunicação e a transparência de informação.

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A comunicação para a segurança do paciente em passagem de plantão entre médicos de UTI em um hospital no interior do Paraná

Libânio,

Oliveira

2023

EACAD

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“…[ 8 ] Understanding that these handovers should be two-way communication is vital when caring for complex ICU patients. [ 8 ]…”

Section: Introductionmentioning

confidence: 99%

“…[2] Handovers are a significant moment in the patient's clinical course, with the potential to impact the quality of care. [8] Understanding that these handovers should be two-way communication is vital when caring for complex ICU patients. [8] There is a lack of research that focuses explicitly on transfers to and from the ICU in our region.…”

Section: Introductionmentioning

confidence: 99%

“…[8] Understanding that these handovers should be two-way communication is vital when caring for complex ICU patients. [8] There is a lack of research that focuses explicitly on transfers to and from the ICU in our region. Therefore, we sought input from HCWs in various Saudi Arabia settings to provide information about their current transfer process to and from the ICU.…”

Section: Introductionmentioning

confidence: 99%

“…In a study in a pediatric environment, trainees identified that they were not adequately prepared for 31% of the events occurring at night, 82% of which could have been anticipated, discussed, and expected during handover [2] . Handovers are a significant moment in the patient's clinical course, with the potential to impact the quality of care [8] . Understanding that these handovers should be two-way communication is vital when caring for complex ICU patients [8] …”

Section: Introductionmentioning

confidence: 99%

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Adverse events experienced with intrahospital transfer of critically ill patients

et al. 2021

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Research that focuses on transfers to and from the intensive care unit (ICU) could highlight important patients’ safety issues. This study aims to describe healthcare workers’ (HCWs) practices involved in patient transfers to or from the ICU. This cross-sectional study was conducted among HCWs during the Saudi Critical Care Society's annual International Conference, April 2017. Responses were assessed using Likert scales and frequencies. Bivariate analysis was used to evaluate the significance of different indicators. Overall, 312 HCWs participated in this study. Regarding transfer to ICUs, the most frequently reported complications were deterioration in respiratory status (51.4%), followed by deterioration in hemodynamic status (46.5%), and missing clinical information (35.5%). Regarding transfers from ICUs to the general ward, the most commonly reported complications were changes in respiratory status (55.6%), followed by incomplete clinical information (37.9%), and change in hemodynamic conditions (29%). The most-used models for communicating transfers were written documents in electronic health records (69.3%) and verbal communication (62.8%). One-fourth of the respondents were not aware of the Situation, Background, Assessment, Recommendation (SBAR) method of patients’ handover. Pearson's test of correlation showed that the HCW's perceived satisfaction with their hospital transfer guidelines showed significant negative correlation with their reported transfer-related complications ( r = −0.27, P < .010). Hemodynamic and respiratory status deterioration is representing significant adverse events among patients transferred to or from the ICU. Factors controlling the perceived satisfaction of HCWs involved in patients, transfer to and from the ICU need to be addressed, focusing on their compliance to the hospital-wide transfer and handover policies. Quality improvement initiatives could improve patient safety to transfer patients to and from the ICU and minimize the associated adverse events.

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What every intensivist should know about handovers in the intensive care unit

Cited by 2 publications

References 16 publications

A comunicação para a segurança do paciente em passagem de plantão entre médicos de UTI em um hospital no interior do Paraná

A comunicação para a segurança do paciente em passagem de plantão entre médicos de UTI em um hospital no interior do Paraná

Adverse events experienced with intrahospital transfer of critically ill patients

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