Emergency Department (ED); Medical Handover; Communication Failure; Emergency Physician; Patient Safety
Résumé :
[en] AIM: To improve the communication during shift handover in an emergency department. METHODS: We observed the handover process and analysed the discourse between physicians at shift change first, and then we created two cognitive tools and tested their clinical impact on the field. We used different measures to evaluate this impact on the health care process including the frequency and type of information content communicated between physicians, duration of the handoff, physician self-evaluation of the quality of the handoff and a posthandover study of patient handling. RESULTS: Our results showed that the patient's medical history, significant test results, recommendations (treatment plan) and patient follow-up were communicated to a greater extent when the tools are used. We also found that physicians spent more time at the bedside and less time consulting medical records using these tools. CONCLUSION: The present study showed how in-depth observations and analyses of real work processes can be used to better support the quality of patient care.
Disciplines :
Sciences sociales & comportementales, psychologie: Multidisciplinaire, généralités & autres Santé publique, services médicaux & soins de santé
Auteur, co-auteur :
Gillet, Aline ; Université de Liège - ULiège > Département Psychologies et cliniques des systèmes humains > Ergonomie et intervention au travail
GHUYSEN, Alexandre ; Centre Hospitalier Universitaire de Liège - CHU > Urgences
BONHOMME, Suzanne ; Centre Hospitalier Universitaire de Liège - CHU > Urgences
D'ORIO, Vincenzo ; Centre Hospitalier Universitaire de Liège - CHU > Urgences
Nyssen, Anne-Sophie ; Université de Liège - ULiège > Département Psychologies et cliniques des systèmes humains > Ergonomie et intervention au travail
Langue du document :
Anglais
Titre :
Cognitive support for a better handoff: does it improve the quality of medical communication at shift change in an emergency department?
Date de publication/diffusion :
juin 2015
Titre du périodique :
European Journal of Emergency Medicine
ISSN :
0969-9546
eISSN :
1473-5695
Maison d'édition :
Lippincott Williams & Wilkins, London, Royaume-Uni
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