一个新的标准化工具来量化创伤护理中的闭环通信:CAST Grid可靠性研究
Victor Schwindenhammer1, Thomas Rimmelé2, Antoine Duclos3
1Pôle Anesthésie-Réanimation, Centre Hospitalier Universitaire Grenoble - Alpes, La Tronche, France; Université Claude Bernard Lyon 1, Centre Lyonnais d'Enseignement par la Simulation en Santé (CLESS), Lyon, France.
Injury
|June 19, 2023
概括
CAST Grid有效地测量了创伤区的闭环通信 (CLC) 频率,显示了每分钟CLC的良好的评分器间一致性,与护理持续时间相反相关.
科学领域:
- 医疗模拟 医疗模拟
- 创伤护理研究 创伤护理研究
- 沟通分析 沟通分析
背景情况:
- 该CAST网格是为了评估创伤湾环境中的闭环通信 (CLC) 而开发的.
- 有效的沟通对于最佳的创伤护理结果至关重要.
研究的目的:
- 评估CAST网格用于测量创伤复苏中CLC的可靠性和有效性.
- 评估CLC指标与团队表现之间的相关性.
主要方法:
- 两位独立审查员评估了来自法国一级创伤中心的11个创伤护理模拟视频.
- 该CAST网格与TEAM和T-NOTECHS网格一起用于评估CLC和非技术技能.
- 对CLC参数和相关性进行了分析.
主要成果:
- 对于每分钟CLC数量 (CLC/分钟) 发现了中等到良好的分量间一致性.
- 对于CLC的百分比,观察到缺乏一致性.
- 较高的CLC/min率与较短的模拟持续时间相关 (r = -0.75).
结论:
- CAST 网格显示了可接受的测量器间可靠性,用于量化 CLC/min.
- CLC的频率与创伤护理的持续时间相反相关.
- 卡斯特网格为分析重症监护机构团队动态和沟通提供了有价值的工具.
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