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儿科患者的安全地面运输:对最佳实践指南的定性评估实施实施

John Ciarletta¹, Denise Lillvis^1,2,3, Anne Stoklosa^1,2

¹Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, New York.

Prehospital emergency care

|June 21, 2023

概括

安全的儿科救护车运输需要更好的培训和设备. 缺乏明确的政策和组织文化等障碍阻碍了遵守国家公路交通安全管理局关于儿科患者安全的指南.

科学领域:

紧急医疗服务 (EMS)
儿童患者的安全性
实施科学实施科学

背景情况:

国家公路交通安全管理局 (NHTSA) 的指导方针旨在改善救护车运输期间的儿科患者安全.
遵守这些关键的安全标准进展缓慢,需要对潜在的障碍和促进因素进行调查.

研究的目的:

评估影响儿科患者安全运输的障碍和促进因素.
在个人,组织和社会层面确定改善儿童救护车运输安全质量的机会.

主要方法:

一个使用实施科学框架的定性研究.
进行了6个聚焦小组与EMS临床医生和4次采访与EMS领导.
专题内容分析用于分析重点小组和采访中的定性数据.

主要成果:

关键主题包括儿童运输的感知困难,不充分的培训和对指南的熟悉程度低.
事情上的实用性往往取代了对最佳实践的坚持.
确定了诸如设备不可用,政策不清楚,患者数量低,EMS文化等组织障碍.

结论:

对于安全的儿科运输,EMS临床医生需要加强实践培训和知识强化.
电子商务管理机构必须提供适当的设备,培训和协议.
监管机构和制造商在实施改善地面救护车运输期间儿科患者安全的建议方面发挥着作用.

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