结构化的术后交接协议提高了手术重症监护室的跨学科沟通和护理护理的效率和质量:一项随机对照试验
Xiayan Qian1, Ka Yin Lui1, Shuhe Li1
1Department of Critical Care Medicine, The First Affiliated Hospital of Sun Yat-Sen University, No.58, Zhongshan 2nd Road, Yuexiu District, Guangzhou, 510080, Guangdong Province, China.
Updates in surgery
|June 5, 2023
概括
一个结构化的术后交接协议显著改善了手续完整性和手术重症监护室 (SICU) 的患者满意度. 这种加强的沟通减少了信息遗漏,改善了临床护理质量.
科学领域:
- 医学研究 医学研究
- 临床实践 临床实践
- 改善医疗保健质量 改善医疗保健质量
背景情况:
- 有效的术后患者转移到外科重症监护室 (SICU) 对患者的治疗结果至关重要.
- 传统的口头传递方法可能会导致信息遗漏和沟通缺口.
研究的目的:
- 评估结构化术后交接协议的有效性,与传统的口服交接相比,用于将患者转移到SICU的患者.
- 评估该协议对交付完整性,沟通效率和临床结果的影响.
主要方法:
- 一项随机对照试验在中国一家教学医院进行.
- 101名术后患者被随机分为干预组 (结构化移交) 和对照组 (传统移交).
- 收集的数据包括交付时间,信息遗漏,额外的问题,电话,患者满意度和I阶段压力的发生率.
主要成果:
- 结构化交付协议显著改善了交付完整性,信息遗漏较少,ICU医生的额外问题也较少.
- 干预组的患者满意度得分明显高于干预组.
- 在干预组中,在24小时内出现I阶段压力的发生率较低 (3.9%对比20%).
- 移交时间在各组之间没有显著差异.
结论:
- 一个结构化的术后交接协议提高了SICU的跨学科沟通和临床护理质量.
- 该协议导致错误减少,并改善了患者的安全和满意度.
- 建议实施结构化移交,以改善术后护理过渡.
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