A handoff is not a telegram: an understanding of the patient is co-constructed

被引：85

作者：

Cohen, Michael D. ^{[1
]}

Hilligoss, Brian ^{[3
]}

Amaral, Andre Carlos Kajdacsy-Balla ^{[2
]}

机构：

[1] Univ Michigan, Sch Informat, Ann Arbor, MI 48109 USA

[2] Univ Toronto, Sunnybrook Hlth Sci Ctr, Dept Crit Care Med, Toronto, ON M4N 3M5, Canada

[3] Ohio State Univ, Coll Publ Hlth, Div Hlth Serv Management & Policy, Columbus, OH 43210 USA

来源：

CRITICAL CARE | 2012年 / 16卷 / 01期

基金：

美国医疗保健研究与质量局;

关键词：

PERSPECTIVE-TAKING; EMERGENCY-DEPARTMENT; DELAYED DIAGNOSES; COMMUNICATION; PERFORMANCE; MEDICINE; INCREASE;

D O I：

10.1186/cc10536

中图分类号：

R4 [临床医学];

学科分类号：

100218 [急诊医学];

摘要：

Hospital handoffs are believed to be a key locus of communication breakdown that can endanger patient safety and undermine quality of care. Substantial new efforts to better understand handoffs and to improve handoff practices are under way. Many such efforts appear to be seriously hampered, however, by an underlying presumption that the essential function of a handoff is one-way information transmission. Here, we examine social science literature that supports a richer framing of handoff conversations, one that characterizes them as co-constructions of an understanding of the patient.

引用

页数：6

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