Banca de DEFESA: JOSÉ ILTON LIMA DE OLIVEIRA

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
STUDENT : JOSÉ ILTON LIMA DE OLIVEIRA
DATE: 31/08/2023
TIME: 09:00
LOCAL: Google Meet (https://meet.google.com/mxv-zatk-yxe)
TITLE:

TECHNOLOGICAL TOOLS USED IN COMMUNICATION BETWEEN HEALTH PROFESSIONALS DURING HANDOFFS: SYSTEMATIC REVIEW AND GOOD PRACTICES GUIDE.

KEY WORDS:

Communication; Health Professionals, Handover; Medical informatics applications, Electronic medical records, Systematic review.

PAGES: 40
BIG AREA: Ciências da Saúde
AREA: Enfermagem
SUMMARY:

Introduction: Effective communication was established by the World Health Organization as an international patient safety goal, aiming to promote more qualified and safe care practices in hospital institutions. Failures in communication processes between health professionals are related to care errors that result in harm to the patient and occur mainly in care transitions. Guidelines established by the Joint Commission International suggest that the use of technological tools promotes improvements in the transfer of critical information during care transitions in the hospital context. Aims: To investigate the effectiveness of the use of medical informatics applications/electronic medical records in communication between health professionals during the care transition processes of hospitalized patients and to develop a guide to good practices based on the analyzed scientific evidence. Methods: A mixed methodology, literature review and methodological study, consisting of a systematic review research, based on PRISMA guidelines and the creation of a good practice guide for the implementation of technological tools in the transition of care in an environment hospital. The search for studies was performed and adjusted for each of the following electronic databases: Embase, Latin American and Caribbean Literature in Health Sciences (LILACS), LIVIVO, PubMed/Medline, Scopus, and Web of Science. The additional literature search included Google Scholar and PROQUEST (gray literature) searches. Randomized and non-randomized clinical trials were included that addressed the population of adult individuals of both sexes with professional training in health (Doctors, Nurses, Physiotherapists, Dentists, Nutritionists, Speech Therapists) working in hospitals and who participated in any transition of care reporting the use of any medical informatics application or electronic health records or computerized medical record systems directly related to the reporting process. Outcomes related to the reduction of adverse events and improvements in communication during transitions were evaluated. The risk of study bias was evaluated using the ROBBINS-I tool for non-randomized trials and RoB 2.0 for randomized trials. For the elaboration of the guide, the evidence brought by the analysis of data from the systematic review was considered. Results: After searching the databases, a total of 2,770 studies were identified, 10 of which were selected for analysis. Most studies reported improvements in communication, including more efficient exchange of crucial information and a reduction in transition time. However, the relationship between implementing these interventions and reducing adverse events was less clear, with several studies reporting mixed outcomes in this area. The implementation of technological interventions was generally accompanied by training and improvements in clinical practice. Additionally, the included studies had a variety of limitations, including possible biases and difficulties in measuring adverse events. Studies were assessed at moderate and high risk of bias. A good practice guide, considering the available evidence, was presented. Conclusion: Electronic interventions have the potential to improve communication during care transitions. However, it is important to highlight that the positive impact cannot be attributed solely to the technologies employed, given the role of training and improvements in clinical practice addressed in most studies. The effectiveness of these interventions may vary depending on the clinical context, which implies the need for adaptation and customization according to the specific context. Future research on a robust method is needed to further explore these nuances and optimize the implementation of technologies in the care transition in the hospital environment.

COMMITTEE MEMBERS:
Externa ao Programa - 1262138 - ARYELLY DAYANE DA SILVA NUNES ARAÚJO - nullExterno à Instituição - Cristiano Miranda de Araujo - UTP
Presidente - 1717611 - JOSELI SOARES BRAZOROTTO
Externa ao Programa - 1573810 - KARINNA VERISSIMO MEIRA TAVEIRA - nullInterna - 2200719 - MARIA CLAUDIA MEDEIROS DANTAS DE RUBIM COSTA