Evaluation of Intershift Handover in Emergency Department

SALT, ÖMER; Sayhan, Mustafa Burak; AKPINAR, Metin; MUTLU, Alparslan

Evaluation of Intershift Handover in Emergency Department

Metin AKPINAR, (Van District Training And Research Hospital, Emergency Department, Van, Turkey)

Ömer SALT, (Trakya University Medical Faculty, Emergency Department, Edirne, Turkey)

Mustafa Burak SAYHAN, (Trakya University Medical Faculty, Emergency Department, Edirne, Turkey)

Alparslan MUTLU (Dr. Lütfi Kırdar Training and Research Hospital, Emergency Department, İstanbul, Turkey)

Gazi Medical Journal

2 0

Yıl: 2018 Cilt: 29 Sayı: 4 Sayfa Aralığı: 287 - 290 Metin Dili: İngilizce İndeks Tarihi: 11-04-2019

Evaluation of Intershift Handover in Emergency Department

Öz:

Objective: Intershift handover (IH) in emergency departments can lead toserious distress in terms of both patient and doctor safety. In the study; itwas aimed to determine how patients handed over between the shifts in theemergency services and the deficiencies, defects and errors occurred duringthis process.Methods: This study was conducted with 462 emergency doctors at 62private, state, training research and university hospitals in Istanbul, Edirne,Kırklareli and Tekirdag cities where almost one fourth of Turkish populationlive, by interwiewing face-to-face between April 2016 and June 2016.Results: There were statistically significant difference between the groupswho said that the transfer quality depends on the transferer doctor andlecturer and the other groups (respectively p<0.05). 98.1% (n = 453) of thephysicians stated that they completely or partially agree with that; thedeficiencies during handover the effect negatively the treatment of thepatient (p<0.05).Conclusion: In conclusion, it is obvious that; the intershift handover inemergency department is vital. By reducing the number of mistakes madeduring this period, the quality of treatment of patients can be increased. Inorder to achieve this, we also think that it would be beneficial to giveeducation to emergency service doctors about patient handover and to use astandardized intershift patient handover form.

Anahtar Kelime:

Acil Serviste Vardiya Devir Tesliminin Değerlendirilmesi

Öz:

Amaç: Acil serviste vardiyalar arası hasta devir teslimi hem doktor, hem de hasta güvenliği açısından ciddi sıkıntılara yol açabilmektedir. Bu çalışmada, acil servislerde vardiyalar arası hasta devir tesliminin nasıl yapıldığının ve bu süreçteki olası hata ve eksikliklerin tespiti amaçlanmıştır. Yöntem: Bu çalışma; İstanbul, Edirne, Kırklareli ve Tekirdağ gibi ülke nüfusunun yaklaşık 4 te birinin yaşadığı illerdeki 62 özel, devlet, eğitim araştırma ve üniversitesi hastanesi ziyaret edilerek, acil servislerde çalışan 462 hekimle yüz-yüze görüşme metoduyla Nisan 2016-Haziran 2016 tarihleri arasında gerçekleştirilmiştir. Bulgular: Devir kalitesinin devreden doktor ya da öğretim üyesine bağlı olduğunu belirtenlerle, diğerleri arasında istatistiksel anlamlı farklılık tespit edildi (p<0.05). Katılımcıların % 98.1 i (n=453) devir esnasındaki eksikliklerin tedavi kalitesini olumsuz etkilediği görüşünü tamamen ya da kısmen desteklediğini belirtti (p<0.05). Sonuç: Şu kesin olarak bilinmektedir ki; vardiyalar arası hasta devir teslimi hayati öneme sahiptir. Bu esnada yapılacak hataların en aza indirilmesi hasta bakım kalitesinde artışla sonuçlanacaktır. Bunu sağlayabilmek için standardize edilmiş bir devir teslim formu kullanımının ve hekimlere gerek tıp fakültesi, gerekse asistanlık eğitimi esnasında hasta devir teslimiyle ilgili ders verilmesinin faydalı olacağını düşünmekteyiz.

Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	AKPINAR M, SALT Ö, Sayhan M, MUTLU A (2018). Evaluation of Intershift Handover in Emergency Department. , 287 - 290.
Chicago	AKPINAR Metin,SALT ÖMER,Sayhan Mustafa Burak,MUTLU Alparslan Evaluation of Intershift Handover in Emergency Department. (2018): 287 - 290.
MLA	AKPINAR Metin,SALT ÖMER,Sayhan Mustafa Burak,MUTLU Alparslan Evaluation of Intershift Handover in Emergency Department. , 2018, ss.287 - 290.
AMA	AKPINAR M,SALT Ö,Sayhan M,MUTLU A Evaluation of Intershift Handover in Emergency Department. . 2018; 287 - 290.
Vancouver	AKPINAR M,SALT Ö,Sayhan M,MUTLU A Evaluation of Intershift Handover in Emergency Department. . 2018; 287 - 290.
IEEE	AKPINAR M,SALT Ö,Sayhan M,MUTLU A "Evaluation of Intershift Handover in Emergency Department." , ss.287 - 290, 2018.
ISNAD	AKPINAR, Metin vd. "Evaluation of Intershift Handover in Emergency Department". (2018), 287-290.

APA	AKPINAR M, SALT Ö, Sayhan M, MUTLU A (2018). Evaluation of Intershift Handover in Emergency Department. Gazi Medical Journal, 29(4), 287 - 290.
Chicago	AKPINAR Metin,SALT ÖMER,Sayhan Mustafa Burak,MUTLU Alparslan Evaluation of Intershift Handover in Emergency Department. Gazi Medical Journal 29, no.4 (2018): 287 - 290.
MLA	AKPINAR Metin,SALT ÖMER,Sayhan Mustafa Burak,MUTLU Alparslan Evaluation of Intershift Handover in Emergency Department. Gazi Medical Journal, vol.29, no.4, 2018, ss.287 - 290.
AMA	AKPINAR M,SALT Ö,Sayhan M,MUTLU A Evaluation of Intershift Handover in Emergency Department. Gazi Medical Journal. 2018; 29(4): 287 - 290.
Vancouver	AKPINAR M,SALT Ö,Sayhan M,MUTLU A Evaluation of Intershift Handover in Emergency Department. Gazi Medical Journal. 2018; 29(4): 287 - 290.
IEEE	AKPINAR M,SALT Ö,Sayhan M,MUTLU A "Evaluation of Intershift Handover in Emergency Department." Gazi Medical Journal, 29, ss.287 - 290, 2018.
ISNAD	AKPINAR, Metin vd. "Evaluation of Intershift Handover in Emergency Department". Gazi Medical Journal 29/4 (2018), 287-290.