Primopredaja i prijelaz bolesnika

Professional paper - Professional paper

• Title (english): Patient handover and transition
• Author: Marija Bakula
• Author: Nada Čikeš
• Author's institution: University of Zagreb; School of Medicine
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Clinical Medical Sciences

Abstract (english)

Patient handover is considered to be one of the most delicate medical procedures as well as the most
preventable cause of medical error. It takes place at primary, secondary and tertiary healthcare, with specificities
at every level of healthcare. Improvement in the quality of patient handover is therefore essential for good medical
practice. Accurate and comprehensive communication between medical staff is required for patient safety and
continuous adequate healthcare. In this article, we describe recommendations for successful and efficient patient
handover and highlight communication errors during the process. Special attention is given to handover of rheumatological
patients and transition from pediatric to adult healthcare. Also, we emphasize the necessity of education.
Medical staff should be competent in sharing and exchanging relevant information when the patient transfers
to another medical care provider. Teaching communication skills has been part of undergraduate and postgraduate
curriculum in medical schools. At the University of Zagreb School of Medicine we have introduced a
longitudinal six-year course Fundamentals of Medical Skills where special attention is given to communication
skills. Nevertheless, medical specialty training still lacks educational contents specialized in patient handover and
safe patient discharge.

Abstract (croatian)

Primopredaja bolesnika smatra se jednim od najdelikatnijih postupaka u medicini i najvažnijim sprječivim
uzrokom medicinske pogreške. Ovaj se proces zbiva na svim razinama zdravstvene zaštite: primarnoj,
sekundarnoj i tercijarnoj, od kojih svaka ima svoje specifičnosti. Unaprjeđenje kvalitete primopredaje na svakoj
razini izrazito je važno. Prikladan i precizan prijenos informacija između medicinskog osoblja nuždan je za sigurnost
bolesnika i kontinuiranu zdravstvenu zaštitu. U ovom su članku opisane preporuke za uspješnu i kvalitetnu
primopredaju bolesnika te su istaknute pogreške pri komunikaciji i postupku prijelaza u skrb drugom liječniku.
Poseban je osvrt dan na primopredaju reumatološkog bolesnika i na prijelaz iz pedijatrijske skrbi u adultnu reumatološku
skrb. Osobito je naglašena potreba poučavanja pri komunikaciji i prenošenju podataka tijekom prijelaza
bolesnika od jednog liječnika drugomu, iz ustanove u ustanovu. Poučavanje komunikacijskih vještina danas se
provodi na medicinskim fakultetima na diplomskoj i poslijediplomskoj razini. Na Medicinskom fakultetu Sveučilišta
u Zagrebu uveli smo longitudinalni 6-godišnji predmet Temelji liječničkog umijeća u kojem studente
poučavamo
komunikaciji. Ipak, ističemo nedovoljan broj nastavnih sadržaja specijalističkog usavršavanja koji
obuhvaćaju izobrazbu o primopredaji bolesnika i vještinama otpusta bolesnika.

• Language: croatian
• Publication type: Professional paper - Professional paper
• Publication status: Published
• Peer review: Peer review
• Publication version: Published version
• Journal title: Liječnički Vjesnik
• Numbering: vol. 141, no. 3-4, pp. 106-111
• p-ISSN: 0024-3477
• URN:NBN: urn:nbn:hr:105:930363
• Publication: 2019
• Document URL: http://lijecnicki-vjesnik.hlz.hr/pdf/3-4-2019/07_bakula.pdf
• Type of resource: Text
• Access conditions: Open access
• Created on: 2024-03-28 10:19:14