在ICU中的决策:分析ICU入院决策过程,使用"20个问题"方法
P D Gopalan1,2, S Pershad1,3, B J Pillay4
1Discipline of Anaesthesiology and Critical Care, Nelson R Mandela School of Medicine, University of KwaZulu-Natal, Durban, South Africa.
概括
医生 医生 医生
科学领域:
- 医疗决策的制定 医疗决策的制定
- 关键护理医学 关键护理医学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 进入重症监护室 (ICU) 是一个复杂,高压的决定.
- 了解医生的思维过程可以提高ICU分组的效率和有效性.
研究的目的:
- 探索医生在ICU分类决策中的战略思维过程.
- 确定影响ICU入院选择的关键因素.
主要方法:
- 对于假设的ICU转诊病例,与29名从业人员一起使用了经过修改的"20个问题"方法.
- 收集的数据包括人口统计信息,充分信息的决策,以及对信仰和个性等影响因素的反.
主要成果:
- 大多数问题 (95.92%) 与患者有关. 接受率为68.96%的接受率.
- 拒绝与更长的面试时间,更低的ICU床位容量,从业者的年龄和更高的信仰分数相关.
- 信任得分与被问到的问题数量有正相关;非小专家更有可能改变决策.
结论:
- 一个"20个问题"的方法,重点是关键信息,可以帮助ICU入院决策.
- 实践者应该批判性地评估他们的决策过程的元认知方面.
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