澳大利亚的全科医生对使出院沟通有效的品质的看法:一个范围审查
Melinda Gusmeroli1, Stephen Perks1, Cassie Lanskey1
1Townsville University Hospital, Townsville, Qld 4814, Australia; and James Cook University, Townsville, Qld 4814, Australia.
Australian journal of primary health
|May 31, 2023
概括
澳大利亚的全科医生 (GPs) 发现医院出院摘要往往缺乏及时性和清晰度. 有效的沟通需要及时,完整和可读的摘要,包括特定的药物和诊断细节,以提高患者安全.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 患者安全 患者安全
- 一般实践 一般实践
背景情况:
- 从医院到初级保健的护理过渡是患者安全的高风险时期.
- 排放摘要经常是不完整的,延迟,对社区提供者来说是没有帮助的.
- 在护理过渡期间有效的沟通对于患者安全至关重要.
研究的目的:
- 识别和绘制澳大利亚全科医生 (GPs) 关于有效医院出院沟通的观点的文献.
- 了解一般医生认为最佳出院总结所必需的品质.
主要方法:
- 对Medline,Scopus和Cochrane数据库进行了范围审查.
- 搜索到2021年10月的出版物,讨论澳大利亚全科医生的医院出院沟通观点.
- 18项研究在1696个已识别的文章中满足了纳入标准.
主要成果:
- 一般医生认为收到摘要的及时性是一个重要问题.
- 基本信息包括药物变化及其原因.
- 首选摘要是针对诊断/学科的,易于阅读的,并包含突出信息.
结论:
- 一般医生在出院摘要中重视及时性,完整性,可读性,药物细节和诊断特定信息.
- 有机会进行进一步的研究,研究有效的核准沟通策略.
- 需要采取干预措施来改善出院沟通,患者安全和护理转移政策.
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