Impact of multidisciplinary quality improvement programs from the operating room to the ICU handover on handover errors and satisfaction / 中国实用护理杂志

ABSTRACT

Objective To explore the impact of multidisciplinary quality improvement handover system on handover errors and medical staff satisfaction. Methods The study group consisted of a team of nurses, surgeons, anesthesiologists, ICU doctors and nurses in the operating room of Yangzhou Friendship Hospital. From May 2015 to May 2016, the team transferred from the operating room to the ICU. After the patient handover, the traditional oral handover was followed as the normal handover group. From June 2016 to June 2017, the standardized quality improvement handover system was adopted as the quality improvement. Handover group. 50 patients with elective surgery were randomly selected from the two groups. The errors that occur during the handover process are recorded during each handover. After the handover of all patients in each group, an anonymous questionnaire was provided to the operating room medical staff, anesthesiologists, and ICU medical staff. Results Compared with the quality improvement handover group (50 cases), the number of errors in the handover process, the number of errors in the process of handover, the number of interruptions in the handover, the delivery of the ICU to the medical staff. The organization of medical staff reported that there was a statistically significant difference in the treatment plan of the patients (t=5.34, 4.53, 3.34, χ2=23.45, 14.94, 16.28, P<0.05). The two groups of medical staff were satisfied with the handover, satisfied with the report of the operating room doctor, and reported to the anesthesiologist, I was able to get all the reports of the patients, satisfied the evaluation of the anesthesia of the preoperative patients, and provided effective patient information before the operation. Regarding the information on potential problems, the satisfactory score for the interruption of the handover, the idea of the handover process is clear from beginning to end, the time of the medical personnel is tight, and the responsible doctors and nurses feel the statistically significant difference in the handover time( t=2.32-6.34, P < 0.05). Conclusions Multidisciplinary quality improvement handover system can reduce handover errors and improve the satisfaction of medical staff.