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Intrahospitala transporter och patientsäkerhet: En kvalitativ intervjustudie
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
2018 (Swedish)Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
Abstract [sv]

Bakgrund: Intrahospitala transporter innebär att lämna tryggheten på intensivvårdsavdelningen och möta farorna i sjukhusets korridorer. Syfte: Denna studie har syftat till att öka förståelsen för patientsäkerhetsarbete i samband med intrahospitala transporter genom att belysa effekten av en checklista i ett före-efter förhållande utifrån tre perspektiv, kommunikation mellan professionerna, patientsäkerhet och arbetsflöde. Metod: Intervjuer utfördes på en intensivvårdsavdelning på ett universitetssjukhus i Mellansverige. Intervjuerna analyserades sedan med kvalitativ innehållsanalys i enlighet med Elo och Kyngäs (2008). De nio informanterna inkluderades från samtliga professioner som använder checklistan. Resultat: Patientsäkerheten har stärkts av att checklistan förbättrar förutsättningarna till dialog mellan intensivvårdsläkare och intensivvårdssjuksköterska kring patientens tillstånd inför transport. Den har även ökat riskmedvetenheten vid intrahospitala transporter. Slutsats: Studien visar att checklistan fungerat tydliggörande i ansvars- och rollfördelning vid transporter. Brist på resurser utgör det största hindret till att efterleva checklistans höga ambitioner.

Abstract [en]

Background: The process of intrahospital transports is one of leaving the safety of the intensive care unit and venturing out into the relative danger zone of the hospital corridors. Aim: This study aims to increase the understanding of patient safety and the effects of the use of a checklist from three different perspectives; communication between professions, patient safety and workflow. Method: Interviews were conducted in an intensive care unit situated in a university hospital in the middle of Sweden. The Elo and Kyngäs (2008) method of qualitative content analysis was used to analyse the interviews. The nine participants were from three different professions of the workforce in the ward were included. Results: Patient safety increased using the checklists by improving the possibilities for communication between doctors and nurses about the patient’s condition before transportation. The checklist also increased hazard awareness during intrahospital transports. Conclusion: The study shows that the checklist improves cooperation and division of responsibility during transport. The lack of resources is the main obstacle hindering full implementation of the checklist.

Place, publisher, year, edition, pages
2018.
Keywords [en]
Patient safety, intrahospital transports, checklists, communication and teamwork.
Keywords [sv]
Patientsäkerhet, intrahospitala transporter, checklistor, kommunikation och teamarbete.
National Category
Nursing
Identifiers
URN: urn:nbn:se:uu:diva-354898OAI: oai:DiVA.org:uu-354898DiVA, id: diva2:1223027
Subject / course
Caring Sciences
Educational program
Specialistsjuksköterskeprogrammet med inriktning mot intensivvård
Supervisors
Examiners
Available from: 2018-06-25 Created: 2018-06-24 Last updated: 2018-06-25Bibliographically approved

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CiteExportLink to record
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