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Med Intensiva. 2018 Apr;42(3):168-179. doi: 10.1016/j.medin.2017.12.002. Epub 2018 Feb 14.

Handover in Intensive Care.

[Article in English, Spanish]

Author information

1
Servicio de Medicina Intensiva, Hospital Universitario Joan XXIII, Instituto de Investigación Sanitaria Pere Virgili, Tarragona, España.
2
UCI de Trauma y Emergencias (UCITE), Servicio de Medicina Intensiva, Hospital Universitario 12 de Octubre, Madrid, España.
3
Servicio de Medicina Intensiva, Hospital Universitario del Henares, Madrid, España.
4
Servicio de Medicina Intensiva, Hospital Universitario Marqués de Valdecilla, Santander, España.
5
Servicio de Medicina Intensiva, Hospital Universitario Donostia, San Sebastián, España.
6
Servicio de Medicina Intensiva, Hospital Universitario General de Castellón, Castellón, España.
7
Servicio de Medicina Intensiva, Hospital Universitario Río Hortega, Valladolid, España.
8
Servicio de Medicina Intensiva, Hospital Can Misses, Ibiza, España.
9
Servicio de Medicina Intensiva, Hospital Universitario Santa Lucía, Cartagena, España.
10
Servicio de Medicina Intensiva, Hospital Universitario La Paz-Carlos III/IdiPAZ, Madrid, España.
11
Servicio de Medicina Intensiva, Hospital de Terrassa, Terrassa, España.
12
Servicio de Medicina Intensiva, Hospital Universitario de Torrejón, Madrid.
13
Servicio de Medicina Intensiva, Hospital Universitario de Torrejón, Madrid. Electronic address: mcmartindelgado@gmail.com.

Abstract

Handover is a frequent and complex task that also implies the transfer of the responsibility of the care. The deficiencies in this process are associated with important gaps in clinical safety and also in patient and professional dissatisfaction, as well as increasing health cost. Efforts to standardize this process have increased in recent years, appearing numerous mnemonic tools. Despite this, local are heterogeneous and the level of training in this area is low. The purpose of this review is to highlight the importance of IT while providing a methodological structure that favors effective IT in ICU, reducing the risk associated with this process. Specifically, this document refers to the handover that is established during shift changes or nursing shifts, during the transfer of patients to other diagnostic and therapeutic areas, and to discharge from the ICU. Emergency situations and the potential participation of patients and relatives are also considered. Formulas for measuring quality are finally proposed and potential improvements are mentioned especially in the field of training.

KEYWORDS:

Clinical safety; Communication; Comunicación; Handover; Intensive care; Medicina intensiva; Proceso; Process; Seguridad clínica; Traspaso de información

PMID:
29426704
DOI:
10.1016/j.medin.2017.12.002
[Indexed for MEDLINE]
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