Examining issues in communicating patient care information across shifts in a critical care setting

Joseph Sharit, Lorgia McCane, Deborah M. Thevenin, Paul Barach

Research output: Chapter in Book/Report/Conference proceedingConference contribution

3 Scopus citations

Abstract

This study addresses issues associated with sign-out reports occurring during shift changes in the pediatric intensive care unit of a large metropolitan hospital. The issues include the need for organizing our knowledge concerning the types of errors that providers are susceptible to during the sign-out process, the roles of personality, experience, and cultural factors, particularly as they may affect the incoming provider's inquisitiveness, and the potential impact on patient care of various different methods of performing sign-outs. We observed eight outgoing nurses and four residents who gave sign-out reports, and conducted eight semi-structured interviews with nurses, residents, nurse managers, and attending physicians. The results revealed important and intricate relationships among many of the variables that were investigated and suggested a number of interventions that might improve the sign-out process. Overall, our data on shift change sign-outs in an acute care setting confirmed the resiliency of health care providers and their capability for managing patient care under extremely demanding conditions.

Original languageEnglish (US)
Title of host publicationProceedings of the Human Factors and Ergonomics Society 49th Annual Meeting, HFES 2005
PublisherHuman Factors and Ergonomics Society Inc.
Pages1062-1066
Number of pages5
ISBN (Print)094528926X, 9780945289265
DOIs
StatePublished - 2005
Event49th Annual Meeting of the Human Factors and Ergonomics Society, HFES 2005 - Orlando, FL, United States
Duration: Sep 26 2005Sep 30 2005

Publication series

NameProceedings of the Human Factors and Ergonomics Society
ISSN (Print)1071-1813

Other

Other49th Annual Meeting of the Human Factors and Ergonomics Society, HFES 2005
CountryUnited States
CityOrlando, FL
Period9/26/059/30/05

ASJC Scopus subject areas

  • Human Factors and Ergonomics

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