Τίτλος:
A handoffs software led to fewer errors of omission and better provider satisfaction: A randomized control trial
Γλώσσες Τεκμηρίου:
Αγγλικά
Περίληψη:
Background Computer-assisted communication is shown to prevent critical omissions ("errors") in the handoff process. Objective The aim of the study was to study this effect and related provider satisfaction, using a standardized software. Methods Fourteen internal medicine house officers staffed 6 days and 1 cross-covering teams were randomized to either the intervention group or control, employing usual handoff, so that handoff information was exchanged only between same-group subjects (daily, for 28 days). Results In the intervention group, fewer omissions (among those studied) occurred intravenous access (17 versus 422, P < 0.001), code status (1 versus 158, P < 0.001), diet/nothing per mouth (28 versus 477, P < 0.001), and deep venous thrombosis prophylaxis (17 versus 284, P < 0.001); duration to compose handoff was similar; and physicians perceived less workload adjusted for patient census and provider characteristics (P = 0.004) as well as better handoff quality (P < 0.001) and clarity (P < 0.001). Conclusions The intervention was associated with fewer errors and superior provider satisfaction. © Wolters Kluwer Health, Inc. All rights reserved.
Συγγραφείς:
Kashiouris, M.G.
Stefanou, C.
Sharma, D.
Yshii-Tamashiro, C.
Vega, R.
Hartigan, S.
Albrecht, C.
Brown, R.H.
Περιοδικό:
Journal of Patient Safety
Εκδότης:
Lippincott Williams and Wilkins
Λέξεις-κλειδιά:
controlled study; female; health care personnel; human; male; medical error; psychology; randomized controlled trial; satisfaction; software, Female; Health Personnel; Humans; Male; Medical Errors; Personal Satisfaction; Software
DOI:
10.1097/PTS.0000000000000340
