التفاصيل البيبلوغرافية
| العنوان: |
Who to handover: a case-control study of a novel scoring system to prioritise handover of internal medicine inpatients. |
| المؤلفون: |
Bittman, Jesse, Tam, Penny, Little, Chris, Khan, Nadia |
| المصدر: |
Postgraduate Medical Journal; Jun2017, Vol. 93 Issue 1100, p313-318, 6p, 1 Diagram, 2 Charts, 2 Graphs |
| مصطلحات موضوعية: |
MEDICAL needs assessment, INPATIENT care, INTERNAL medicine, HEALTH services administration, RECEIVER operating characteristic curves, DECISION support systems, INFORMATION storage & retrieval systems, MEDICAL databases, RISK assessment, PREDICTIVE tests, CASE-control method |
| مصطلحات جغرافية: |
BRITISH Columbia |
| مستخلص: |
Background: Handover of patients between care providers is a critical event in patient care. There is, however, little evidence to guide the handover process, including determining which patients to handover.Aim: Compare the ability of gestalt-based handover with two structured scores, the modified early warning score (MEWS) and our novel iHAND clinical decision support system, to predict which patients will be assessed by a physician overnight.Methods: This case-control study included 90 inpatients, comprising 32 patients assessed overnight (cases) and 58 patients not assessed overnight (controls) at a teaching hospital in British Columbia, Canada (May 2012). Gestalt, MEWS and iHAND scores were analysed against patients seen overnight using logistic regression and receiver-operating characteristic (ROC) curves.Results: Neither current gestalt-based handover practice (odds ratio (OR) 1.50, 95% CI 0.89 to 3.83) nor MEWS (OR 0.96, 95% CI 0.75 to 1.24, area under the ROC curve (AUC) 0.61, 95% CI 0.49 to 0.73) were significantly associated with need to be seen overnight. The iHAND score was associated with need to be seen (OR 1.93, 95% CI 1.24 to 3.02, AUC 0.70, 95% CI 0.60 to 0.81).Conclusions: The iHAND score had moderate ability to predict which patients required assessment overnight, while MEWS score and current gestalt approach correlated poorly, suggesting the iHAND score may help prioritisation of patients likely to be seen overnight for handover. [ABSTRACT FROM AUTHOR] |
|
Copyright of Postgraduate Medical Journal is the property of Oxford University Press / USA and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) |
| قاعدة البيانات: |
Complementary Index |
