Handoff communication in intensive care: links with patient safety
Comunicación en el handoff de terapia intensiva: nexos con la seguridad del paciente
Comunicação no handoff na terapia intensiva: nexos com a segurança do paciente
Grazielle Rezende da Silva dos Santos; Juliana Faria Campos; Rafael Celestino da Silva
Abstract
Keywords
Resumen
Palabras clave
Resumo
Objetivo: Levantar as evidências científicas sobre a prática do handoff na unidade de terapia intensiva quanto à segurança da comunicação entre os membros da equipe sobre o paciente hospitalizado.
Método: Revisão integrativa, nas bases Medline, PubMed, Cinahl e Scopus, com os descritores patient handoff, communication, patient safety, critical care, health communication e intensive care unit. Adotou-se como critérios: texto completo, português/inglês, últimos dez anos, nível de evidência acima de IV e alinhamento à questão de pesquisa. Quinze artigos foram submetidos a um instrumento estruturado e análise.
Resultados: Evidenciam-se informações ausentes, incompletas ou erradas no handoff, causadas pela falta de padronização e de preparo dessa atividade, gerando procedimentos atrasados, errados ou não realizados. O uso de instrumentos reduz a quantidade de informação omitida, conversas paralelas e erros, melhorando a satisfação da equipe.
Considerações finais: É preciso promover a comunicação segura no handoff, implementando práticas que garantam a continuidade da assistência.
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Referências
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Submetido em:
06/09/2017
Aceito em:
08/01/2018
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