Journal of patient safety
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Journal of patient safety · Mar 2014
The introduction of an integrated early warning score observation chart-a picture paints a thousand words.
Previous studies have demonstrated that abnormal physiological observations are often recorded on patients' observation charts but not acted on, with ensuing negative consequences. To address this issue within our hospital, traditional charts with a graphic depiction of observations were replaced with new charts combining early warning scores (EWS) with numerically depicted observations. However, the replacement did not include a graphic display of observations in the form of trend graphs. The present study compared the speed and accuracy of data interpretation between the 2 charts. ⋯ Graphic display of data is associated with faster and more accurate assimilation of information. Hence, charts combining EWS with graphic portrayal of observation trends may contribute to earlier recognition of sick patients.
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Journal of patient safety · Mar 2014
Shift change handovers and subsequent interruptions: potential impacts on quality of care.
Two statistical surveys in France revealed both widespread dissatisfaction about shift change handovers and the feeling of being frequently disturbed by interruptions. Shift change handovers (SCHs) are being reduced or eliminated in France to reduce staff costs. The objective of our study is to clarify the consequences of short SCHs on efficiency, team function, and quality of care. ⋯ A better sharing of knowledge between the different health-care workers, and especially at the beginning of the work session, could reduce interruptions and potentially improve quality of care.