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在儿科急诊室开发,实施和提供者对标准化关键事件汇报的看法
Allie Grither1, Kathryn Leonard1, Jill Whiteley2
1From the Division of Emergency Medicine, Department of Pediatrics, Washington University in St. Louis School of Medicine, St. Louis, MO.
Pediatric emergency care
|August 17, 2023
概括
在儿科急诊室实施一个多学科的热点汇报协议,显著提高了关键事件的汇报完成率. 这一举措改善了团队沟通,解决了系统性问题,提高了患者的护理.
科学领域:
- 医学教育 医学教育
- 改善医疗保健质量 改善医疗保健质量
- 紧急医疗 紧急医疗
背景情况:
- 热度汇报对于改善团队表现和事件后的沟通至关重要.
- 尽管有建议,但常规实施热点汇报仍然是一个挑战.
- 儿科急诊室 (ED) 可以从结构化的汇报流程中受益.
研究的目的:
- 在儿科ED中开发和实施一个多学科的热点汇报过程.
- 评估本议定书对热点汇报完成率的影响.
- 评估供应商对实施的热点汇报过程的看法.
主要方法:
- 基于内部调查和现有文献,开发了一种集成的热点汇报工具和协议.
- 训练有素的护士和儿科急诊医生作为辅导员.
- 收集了基线和实施后调查数据,以了解提供者的看法和前性跟踪的汇报完成率.
主要成果:
- 患者死亡的简报完成率从23%增加到75% (P < 0.001).
- 干预后的调查表明,汇报的频率和价值增加,感知障碍减少.
- 受访者报告说,热点汇报有助于解决系统问题并提高性能.
结论:
- 在儿科ED中,由医生或主管护士领导的热交谈协议导致更高的完成率和标准化的解决问题的方法.
- 该协议有效地减少了对进行汇报的感知障碍.
- 鼓励儿科ED采用热交谈协议,以获得更好的结果.
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