基于SBAR沟通模式危急重症患者交班软件的开发与应用

Development and application of software based on SBAR model for the handover of critically ill patients in the emergency department

目的:开发基于SBAR模式的危急重症患者交班软件并评价应用效果。方法:设计基于SBAR沟通模式的急诊危重患者交接班软件,并将其嵌入急诊信息系统,辅助护士完成交班。对比使用前后的交班质量、交班本书写时间、内容遗漏率、涂改情况以及护士满意度。结果:使用基于SBAR模式的急诊护士交班软件后,观察组护士交班评估得分高于对照组,交班内容书写时间短于对照组,交班记录遗漏和涂改次数均少于对照组;观察组护士对交班模式满意度高于对照组,差异均具有统计学意义(P<0.05)。结论:急诊科护理信息化交班软件的使用规范了护士交班内容,避免了信息遗漏和交班内容的重复抄写,缩短了护士交班书写时间,有利于提高交班质量和护士满意度。

Objective:To develop a software for the handover of critically ill patients in the emergency department and evaluate its application effects.Methods:Design a software for critically ill patients in the emergency department based on SBAR(Situation,Background,Assessment,and Recommendation)model,and embed it into the emergency information system.The quality of handover,the time spent on writing the handover notes,omissions and corrections occurred in the handover notes,and nurses’satisfaction were used to evaluate the effects of the new handover procedure.Results:It was found that compared to the control group,the observation group had higher average score of the Handover Evaluation Scale,less time spent on writing the handover notes,fewer errors and corrections occurred in the handover notes,and higher nurses’satisfaction towards the handover procedure.All the differences were statistically significant(P<0.05).Conclusion:The use of a handover software designed based on the SBAR model in the emergency department standardizes the content of nurses’handover procedure,avoids the omissions and duplicates of handover notes,shortens the time spent on writing the handover notes,and ultimately improves the quality of handover and nurses’satisfaction towards the handover procedure.