在儿童医院影响激动,降级和身体克制的因素
Evan M Dalton1,2,3, Diana Worsley2, Polina Krass2,3,4
1Division of General Pediatrics, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.
Journal of hospital medicine
|July 4, 2023
概括
临床医生确定的工作系统因素,如人员配置和沟通,会影响儿科患者的激动和身体克制的需要. 解决这些问题可以改善降级,减少医院的克制使用.
科学领域:
- 儿科医院医学 儿科医院医学
- 患者安全 患者安全
- 医疗保健系统工程 医疗保健系统工程
背景情况:
- 住院的儿童面临着动荡的风险.
- 身体限制是为了安全而使用的,但有不良影响.
- 了解防止激动和克制的因素至关重要.
研究的目的:
- 确定影响儿科患者激动的工作系统因素.
- 了解这些因素如何影响降级战略.
- 确定减少儿童使用身体限制的方法.
主要方法:
- 临床医生采访的定向内容分析.
- 扩展系统工程倡议的患者安全模型.
- 与40名临床医生进行半结构面试.
主要成果:
- 医疗任务和医院环境 (如噪音,照明) 都会导致激动.
- 足够的人员和资源 (例如玩具) 有助于缓和局势.
- 组织文化,团队合作和沟通是避免克制的关键.
结论:
- 工作系统因素 (医疗任务,环境,临床医生的属性,沟通) 影响激动,缓和和克制.
- 这些发现为多学科干预提供了基础.
- 针对工作系统因素可以减少儿科护理中的身体克制.
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