Information Transfer and Communication in Surgery A Systematic Review

被引:154
作者
Nagpal, Kamal [1 ]
Vats, Amit [1 ]
Lamb, Benjamin [1 ]
Ashrafian, Hutan [1 ]
Sevdalis, Nick [1 ]
Vincent, Charles [1 ]
Moorthy, Krishna [1 ]
机构
[1] Univ London Imperial Coll Sci Technol & Med, Dept Biosurg & Surg Technol, Ctr Patient Safety & Serv Qual, London W2 1NY, England
基金
英国工程与自然科学研究理事会; 美国国家卫生研究院;
关键词
INTENSIVE-CARE-UNIT; NURSE-PHYSICIAN COMMUNICATION; OPERATING-ROOM; ADVERSE EVENTS; IMPROVING COMMUNICATION; PATIENT SAFETY; QUALITY; CHECKLIST; TEAMWORK; SATISFACTION;
D O I
10.1097/SLA.0b013e3181e495c2
中图分类号
R61 [外科手术学];
学科分类号
摘要
Objectives: We conducted a systematic review of published literature to gain a better understanding of interprofessional information transfer and communication (ITC) in hospital setting in the field of surgical and anesthetic care. Background: Communication breakdowns are a common cause of surgical errors and adverse events. Data Sources: Medline, Embase, PsycINFO, Cochrane Database of Systematic Reviews, and hand search of articles bibliography. Study Selection: Of the 4027 citations identified through the initial electronic search and screened for possible inclusion, 110 articles were retained following title and abstract reviews. Of these, 38 were accepted for this review. Data Extraction: Data were extracted from the studies about objectives, clinical domain, methodology including study design, sample population, tools for assessing communication, results, and limitations. Results: Information transfer failures are common in surgical care and are distributed across the continuum of care. They not only lead to errors in care provision but also lead to patient harm. Most of the articles have focused on ITC process in different phases especially in operating room. None of the studies have looked at whole of the surgical care process. No standard tool has been developed to capture the ITC process in different teams and to evaluate the effect of various communication interventions. Uses of standardized communication through checklist, proformas, and technology innovations have improved the ITC process, with an effect on clinical and patient outcomes. Conclusions: ITC deficits adversely affect patient care. There is a need for standard measures to evaluate this process. Effective and standardized communication among healthcare professionals during the perioperative process facilitates surgical safety.
引用
收藏
页码:225 / 239
页数:15
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