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Interruptions During Senior Nurse Handover in the Intensive Care Unit: A Quality Improvement Study.

Spooner, Amy J; Chaboyer, Wendy; Aitken, Leanne M.
J Nurs Care Qual; 34(1): E15-E21, 2019 Jan/Mar.
Artigo em Inglês | MEDLINE | 2019 | ID: mdl-29916941
Resumo: BACKGROUND: Interruptions during handover may compromise continuity of care and patient safety. LOCAL PROBLEM: Interruptions occur frequently during handovers in the intensive care unit. METHODS: A quality improvement study was undertaken to improve nursing team leader handover processes. The frequency, source, and reason interruptions occurred were recorded before and after a handover intervention. INTERVENTIONS: The intervention involved relocating handover from the desk to bedside and using a printed version of an evidence-based electronic minimum data set. These strategies were supported by education, champions, reminders, and audit and feedback. RESULTS: Forty handovers were audiotaped before, and 49 were observed 3 months following the intervention. Sixty-four interruptions occurred before and 52 after the intervention, but this difference was not statistically significant. Team leaders were frequently interrupted by nurses discussing personal or work-specific matters before and after the intervention. CONCLUSIONS: Further work is required to reduce interruptions that do not benefit patient care.