评估北德克萨斯州区域创伤交换:一个多中心混合方法需要评估
Madhuri B Nagaraj1, Jessica E Lowe1, Alexander L Marinica1
1Department of Surgery, University of Texas Southwestern Medical Center, Dallas, Texas.
The Journal of surgical research
|June 29, 2023
概括
紧急医疗服务 (EMS) 的交付经常出现中断等问题. 这项研究发现,提供者希望标准化交付,突出需要教育和执行协议,以获得更好的患者护理.
科学领域:
- 紧急医疗 紧急医疗
- 创伤护理 创伤护理
- 医疗保健通讯 医疗保健通讯
背景情况:
- 创伤视频回顾揭示了紧急医疗服务 (EMS) 的频繁问题,包括中断和不完整的信息传输.
- 有效的患者移交对于确保创伤机构的护理连续性和患者安全至关重要.
研究的目的:
- 进行EMS移交感知和期望的区域需求评估.
- 确定改善EMS交付流程的关键领域,并指导未来的标准化工作.
主要方法:
- 一个多学科团队开发了一个匿名调查,分发给多个机构的创伤提供者.
- 用内容分析分析分析了定性数据,用描述性统计数据总结了定量数据.
主要成果:
- 从护士,急救医务人员和医生那里共收到了249条回复.
- 总体而言,移交质量评价良好 (中位数为4/5),但机构之间存在显著的差异.
- 移交关键信息包括机制,生命体征,格拉斯哥昏迷表和受伤位置.
- 大多数接收提供者 (78%) 打断了交付,66%的EMS临床医生认为这是破坏性的.
- 确定最需要改进的领域是环境,沟通,信息传递,团队动态和护理流.
结论:
- 尽管总体满意度很高,但84%的EMS临床医生报告说,跨机构的移交情况存在显著的变化.
- 在标准化中发现的漏洞包括曝光,教育和交付协议的执行.
- 标准化EMS交付对于改善信息传输和患者治疗结果至关重要.
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