在多系统创伤患者的护理过渡期间改善手术治疗
Thomas Milazzo1, Kelly Bishop2, George Ho3
1Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.
实施标准化订单模板显著改善了手部治疗的沟通,减少了需要澄清的需求,并可能减少手部受伤后患者等待必要治疗的时间.
科学领域:
- 整形外科 整形外科 整形外科
- 康复医学 康复医学 康复医学
- 卫生系统管理管理卫生系统管理
背景情况:
- 有效的手部治疗对于手部受伤后的功能恢复至关重要.
- 外科医生和职业治疗师之间的不理想沟通阻碍了及时的治疗,特别是在创伤患者中.
- 基线数据显示,重大延误和订单澄清影响了主要第三级护理中心的患者护理.
研究的目的:
- 为了提高手术订单的清晰度和一致性.
- 为了减少订单澄清和治疗延迟的发生率.
- 加强参与手部伤害管理的医疗保健提供者之间的沟通流程.
主要方法:
- 过程映射用于识别手疗法订单履行中的通信障碍.
- 与关键利益相关者 (外科医生,职业治疗师) 共同设计了一个标准化的订单模板.
- 新模板对订单清晰度和交货时间的影响在实施后进行了评估.
主要成果:
- 需要澄清的手疗法订单的百分比从41%下降到24%.
- 基本的订单组件被更一致,更全面地包括在内.
- 观察到患者等待治疗超过24小时的患者减少,尽管需要进一步验证.
结论:
- 一个标准化的订单模板有效地改善了手术订单的沟通.
- 这种干预有可能简化治疗的交付和改善患者的治疗结果.
- 未来的工作包括扩大模板的使用和增强放电沟通.
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