EN INTERVENTIONSSTUDIE FÖR SÄKER KOMMUNIKATION UNDER LARM : Sign In, Time Out och Sign Out på en Akutmottagning i Mellansverige

Sammanfattning: Previous research has shown that there are multiple risks in emergency care of acutely ill or injured patients. Communication, teamwork, and nurses’ experiences in the care of these patients are central aspects of maintaining a high level of patient safety and quality of care. The aim of this study was to examine nurses' experience of the implementation of a new scribe-document to improve safe communication and treatment of code patients. The Method is a mixed method composed of quantitative and qualitative data. A new scribe-document for the codes was created with a checklist for Sign In, Time Out and Sign Out inspired by the Safe Surgical Checklist from WHO. The interventional study is compiled of quantitative questionnaires which were compiled for the study. As a complement to the questionnaires five interviews were conducted with nurses which were then analyzed by a manifest content analysis. The results show different themes which are a result of the interviews; “The importance of a functioning team,” “Expecting the unexpected,” “Structured communication improves the code” and “The checklist gives structure and support when it is used.” The results also show that the checklist was well received by the nurses in the specific emergency department. The conclusion is that the checklist gives a good result when it is used, although better implementation and more education is necessary.     Key words: Checklist, Communication, Emergency Care, Mixed Method, Patient Safety.