改善患者交接:一个叙事审查
1Department of Postgraduate Surgical Studies, Royal College of Surgeons in Ireland, Dublin, Ireland.
African journal of paediatric surgery : AJPS
|July 20, 2023
概括
改善临床转移是患者安全的关键. 床边交付和教育等干预措施在减少不良事件方面表现有希望,尽管需要更多的研究才能获得确的证据.
科学领域:
- 医疗保健管理的管理
- 患者安全 患者安全
- 临床交流 临床沟通
背景情况:
- 临床移交过程对于患者的安全和结果至关重要.
- 有效的移交对于护理的连续性和预防医疗错误至关重要.
研究的目的:
- 审查现有的关于旨在提高临床转移流程有效性的干预措施的文献.
- 确定在临床转型期间增强患者安全的策略.
主要方法:
- 使用 MEDLINE (EBSCO) 进行了系统的文献搜索.
- 纳入标准侧重于对临床移交干预措施的同行评审的英语研究.
- 在对1087份获取的出版物进行严格选后,选择了6项相关研究.
主要成果:
- 探索的干预措施包括床边交接,教育,基于模拟的培训和床边转型护理 (TCAB) 框架.
- 床边交付与交付时间的减少和不良事件的减少有关.
- 教育和基于模拟的培训提高了护士的能力和自我效能,而混合干预减少了不良事件.
结论:
- 各种干预措施显示出在临床转移期间减少不良事件的潜力.
- 尽管出现了积极的趋势,但支持这些干预措施有效性的证据仍然有限且不确.
- 需要进行进一步的研究,以确定具体干预措施对改善临床转移效率和患者安全的影响.
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