Sicurezza, qualità e continuità delle cure in ambito chirurgico: analisi sul processo di handover infermieristico

Domenico Lombardi Fortino; Santoiemma; Giovanni Lagalla; Flavia Carle

doi:10.54103/dn/27005

Authors

Domenico Lombardi Fortino Marche Region Regional Health Agency - Hospital Care, Emergency and Research Sector https://orcid.org/0000-0003-2457-8619
Santoiemma Marche Region Regional Health Agency - Hospital Care, Emergency and Research Sector
Giovanni Lagalla Marche Region Regional Health Agency - Hospital Care, Emergency and Research Sector
Flavia Carle Marche Region Regional Health Agency Directorate

DOI:

https://doi.org/10.54103/dn/27005

Keywords:

Handover, Handoff, Safety, Nursing, Surgical Patient

Abstract

BACKGROUND:
The handover process is crucial for ensuring the quality and safety of healthcare, particularly in surgical settings, where patient transfers between different teams increase the complexity of care. Ineffective communication during handovers is one of the main causes of adverse events.

OBJECTIVE:
To explore nurses' perceptions of the handover process in surgical settings within the Marche Region and identify key information necessary for an effective and safe transfer of patients between surgical wards and operating rooms.

METHODS:
An exploratory survey using a questionnaire was conducted. The tool was distributed online to nurses working in surgical wards and operating rooms.

RESULTS:
The findings revealed a strong consensus among nurses on the importance of an effective handover process, with 99% recognizing it as crucial for patient management. However, only 55% rated the current handover process positively, while 34% found it inadequate. A significant majority (95%) supported the implementation of a standardized tool for information transfer. The study also identified specific information deemed essential by nurses for both pre-operative and post-operative phases.

CONCLUSIONS:
The study highlights the critical role of a well-structured handover in ensuring continuity of care and patient safety in surgical settings. It emphasizes the need to improve existing tools by integrating essential information and proposes the adoption of a digital system to enhance the accuracy, timeliness, and traceability of clinical data during handovers.

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