Comparison of a Nurse-Nurse Handoff Mnemonic With Real-World Handoffs.
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Comparison of a Nurse-Nurse Handoff Mnemonic With Real-World Handoffs.

OʼRourke, Jennifer;Dunn Lopez, Karen;Riesenberg, Lee Ann;Abraham, Joanna;
journal of nursing care quality 2020
306
orourke2020comparisonjournal

Abstract

Communication failures, including clinical handoff or clinical handover errors, contribute to 80% of all serious preventable adverse events each year. The N-PAS, N = Nurse, P = Patient Summary, A = Action Plan, and S = Synthesis, is a flexible standardized clinical handoff tool for nurses.The purpose of this study was to determine the proportion of N-PAS core components present in real-world patient handoffs.A mixed-methods design was used to analyze secondary data. Patient handoffs (n = 138) were transcribed into statements and then independently coded by 2 research assistants.Of all handoff statements, 63.2% were coded as Patient Summary and 13.6% were coded as Action Plan, whereas Synthesis was not coded in any handoffs. Three new Patient Summary elements and 1 new Action Plan element were identified.Patient Summary and Action Plan are critical data reported during clinical handoff. A handoff synthesis is a critical step to include in handoff training.

Keywords

analytische psychologie und träume kernqualitäten von träumen psicoterapia psychotherapieintegration psychotherapy integration traumarbeit analytical psychology and dreams cerebro soñante cerveau en train de rêver cervello sognante core qualities of dreams cualidades centrales de sueños dreamwork integración integrazione psicoterapeutica intégration en psychothérapie lavoro sui sogni psicologia analitica e sogni psicología analítica y sueños psychologie analytique et rêves qualità fondamentali dei sogni qualités essentielles des rêves the dreaming brain trabajo de sueños travail sur les rêves träumendes gehirn аналитическая психология и сновидения интеграция психотерапевтических подходов ключевые качества сновидений работа со сновидениями сновидящий мозг 做梦脑 分析心理学和梦 心理治疗整合 梦的工作 梦的核心特征

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DOI:
10.1097/NCQ.0000000000000465

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ID: 85873
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