在应急响应驾驶和患者运输中应用机组资源管理工具 - - 通过修改的Delphi研究找到共识
Antti Jakonen1, Minna Mänty2, Hilla Nordquist3
1RDI Sustainable Wellbeing, South-Eastern Finland University of Applied Sciences, 48220 Kotka, Finland; Department of Public Health, Faculty of Medicine, University of Helsinki, 00140 Helsinki, Finland.
International emergency nursing
|July 30, 2023
概括
紧急医疗服务 (EMS) 专家确定了在紧急响应驾驶 (ERD) 中使用机组资源管理 (CRM) 工具的关键因素. 这项研究旨在提高高风险应急响应和患者运输期间的安全性.
科学领域:
- 紧急医疗服务 (EMS)
- 患者运输安全 患者运输安全
- 医疗保健中的风险管理
背景情况:
- 紧急响应驾驶 (ERD) 在紧急医疗服务 (EMS) 中存在重大安全风险.
- 机组资源管理 (CRM) 工具对于在EMS中管理高风险程序至关重要.
- 本研究解决了在ERD中识别CRM应用的共识的需要.
研究的目的:
- 在应急响应驱动 (ERD) 过程中应用机组资源管理 (CRM) 工具的关键因素上达成专家共识.
- 加强紧急车辆操作和患者运输的安全协议.
- 为制定基于证据的EMS安全建议提供信息.
主要方法:
- 一项经过修改的三轮Delphi研究,涉及50名紧急响应驾驶 (ERD) 专家.
- 根据先前的研究对项目进行专家评估,使用≥80%的共识水平.
- 开放式问题的诱导性内容分析,以补充定量数据.
主要成果:
- 在86个提出的项目中,64个项目 (74.4%) 达成了共识.
- 达成共识的项目在五分利克尔特等级上被评为"重要" (平均值为3.81-4.86).
- 该研究确定了ERD中CRM工具应用的多个关键因素.
结论:
- 已经确定了在ERD和患者运输中实施CRM工具的关键因素.
- 这些发现为改善EMS安全提供了有价值的见解.
- 建议进行进一步的研究,以制定全面的安全指南.
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