Supply of protected and correct well being care is extraordinarily vital to sufferers’ well being. Presently, a variety of issues of safety has challenged the healthcare supply and subsequently, many private and organizational methods have been developed for selling affected person security.1
Beforehand, folks believed that hospitals are protected locations for receiving medical therapies.2Early within the 1990s, the outcomes of a research carried out by Harvard College in UK aroused the primary considerations about affected person security. The outcomes of this research confirmed that in the course of the course of the research, 98000 sufferers skilled severe accidents because of medical errors. Fifty seven p.c of those sufferers recovered from the accidents one month later, seven p.c skilled long-term issues, and fourteen p.c died. The vital truth was that 69% of those errors have been probably preventable.3Following this research, a report of the Institute of Drugs in 1999 shocked healthcare suppliers and costumers drastically. On this report—entitled ‘To err is human: constructing a safer well being system’—it has been estimated that medical errors trigger 44000–98000 circumstances of in-hospital demise in the US every year.four These statistics modified the general public’s angle in direction of the protection of medical therapies and triggered many political endeavors in the US to seek out the chance components for medical errors and to enhance affected person security.2
The research carried out by the Joint Fee Worldwide (the WHO Collaborating Centre for Affected person Security Options) revealed that poor data communication is the primary threat issue for 65% and the contextual threat issue for 90% of sentinel occasions.1 Data communication occurs repeatedly amongst healthcare suppliers. One of many cases of knowledge communication in healthcare settings is in the course of the nursing shift handovers. Efficient handover facilitates the continuity of care and enhances affected person security.5
Shift handover is a standard custom amongst nurses; nevertheless, normal and efficient handover and knowledge communication abilities will not be taught formally throughout nursing tutorial training; quite, nurses be taught such abilities throughout their each day follow and kind extra skilled nurses.6-7 The first aim of shift handover is to speak the sufferers’ scientific data and to offer a protected and high-quality care; nevertheless, poor data communication throughout nonstandard and ineffective shift handover could endanger affected person security.eight Proof exhibits that ineffective shift handover will increase the chance of remedy error and sentinel occasions, delays the course of remedy, decreases affected person satisfaction, and prolongs the size of hospital keep. The outcomes of a research on pregnant ladies confirmed a big correlation between the variety of shift handovers and unplanned cesarean deliveries.7 Hansten discovered low-quality change-of-shift report can result in a one- to two-hour delay within the supply of nursing care.9 Then again, Reader et al. reported that ineffective intra-shift and inter-shift verbal and written communications are liable for respect- tively 57% and 37% of all of the healthcare errors.10 Consequently, efficient commun- ication of the sufferers’ scientific data is a key issue within the supply of a protected and high-quality care. Efficient data commun- ication is a lot vital that in 2005 the American Committee of Security referred to the standardization of knowledge commun- ication course of in well being care system because the second nationwide aim of security. This aim emphasised the communication of up-to-date and credible data that minimally disrupts the shift handover course of.6To obtain this aim, quite a few shift handover codecs corresponding to ‘I PASS THE BATON’ (Introduction, Affected person, Evaluation, Scenario, Security, THE, Background, Motion, Timing, Possession, Subsequent), ‘SHARQ’ (Scenario, Historical past, Evaluation, Suggestions, Questions), ‘5 Ps’ (Sufferers, Precaution, Plan, Issues, Goal), and ‘SBAR’ (Scenario, Background, Evaluation, Suggestion) have been developed and used worldwide.11 These codecs improved the standard of inter-shift data communication in several hospital items worldwide.
In our nation, Iran, the shift handover experiences are often given verbally utilizing the affected person Kardex and never based mostly on an built-in protocol. Nonetheless, the contents of Kardexes don’t essentially replicate the affected person’s caring priorities.11 The dearth of an built-in handover protocol in our nation along with the inappropriateness of the worldwide shift handover codecs for our healthcare settings have made the standardization of the shift handover troublesome. Presently, there are two kinds of accreditation requirements for hospitals worldwide together with the JCAHO (Joint Fee Accreditation of Well being Group) and JCI (Joint Fee Worldwide). The JACHO and JCI requirements have been developed for the accreditation of healthcare settings within the developed and creating nations, respectively.12 Then again, obtainable handover codecs corresponding to SBAR have been designed based mostly on the specs of the developed nation and subsequently will not be relevant to the Iranian healthcare settings.
As talked about earlier, efficient data communication is essential in all healthcare settings; nevertheless, the significance of efficient data communication within the intensive care items (ICUs) is twofold as a result of
In ICUs, nurses are the chief healthcare suppliers and therefore spend quite a lot of time and power on the gathering, integration, and utilization of sufferers’ information for caring functions.13
ICU sufferers often will not be capable of take part of their self-care actions and subsequently are very weak to the medical errors.14
To stop the prevalence of preventable errors and enhance affected person security via efficient handover data communication, we designed a complete and sensible handover protocol based mostly on the JCI requirements. The intention of this research was to research the results of this protocol on the nurses’ protected follow in intensive care items.
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