patients perceptions of safety and quality of maternity clinical handover病人的安全和质量感知的产科临床交接.pdfVIP

Chin et al. BMC Pregnancy and Childbirth 2011, 11:58 /1471-2393/11/58 RESEARCH ARTICLE Open Access Patients’ perceptions of safety and quality of maternity clinical handover 1,2,4* 3 2,4 1 Georgiana SM Chin , Narelle Warren , Louise Kornman and Peter Cameron Abstract Background: Maternity clinical handover serves to address the gaps in knowledge existing when transitions between individuals or groups of clinicians occur throughout the antenatal, intra-partum and postnatal period. There are limited published studies on maternity handover and a paucity of information about patients’ perceptions of the same. This paper reports postnatal patients’ perceptions of how maternity handover contributes to the quality and safety of maternity care. Methods: This paper reports on a mixed-methods study consisting of qualitative interviews and quantitative medical record analysis. Thirty English-speaking postnatal patients who gave birth at an Australian tertiary maternity hospital participated in a semi-structured interview prior to discharge from hospital. Interview data were coded thematically using the constant comparative method and managed via NVivo software; this data set was supplemented by medical record data analysed using STATA. Results: Almost half of the women were aware of a handover process. Clinician awareness of patient information was seen as evidence that handover had taken place and was seen as representing positive aspects of teamwork, care and communication by participants, all important factors in the perception of quality health care. Collaborative cross-checking, including the use of cognitive artefacts such as hand held antenatal records and patient-authored birth plans, and the involvement of