一个德尔菲研究,以获得关于医疗急救队 (MET) 停顿决策的共识
Natalie A Kondos1,2, Jonathan Barrett2, Jo McDonall1
1School of Nursing and Midwifery, Faculty of Health Deakin University, Victoria, Geelong, Australia.
Journal of clinical nursing
|August 22, 2023
概括
专家们就医疗急救队 (MET) 停机决定的基本要素达成共识. 这一过程确保了安全的患者移交和明确的管理计划,旨在减少重复的MET呼叫并改善患者的治疗结果.
科学领域:
- 医疗应急响应医疗应急响应
- 临床决策的过程
- 患者安全 患者安全
背景情况:
- 有限的研究存在于医疗应急团队 (MET) 停机决定.
- 这一决定涉及将患者的责任交还给病房工作人员.
- 优化停机流程对于患者安全和资源管理至关重要.
研究的目的:
- 为了达成专家的共识,在关键要素的MET停止决策.
- 在MET出发之前定义必要的通信协议.
- 提高MET响应终止的安全性和效率.
主要方法:
- 在由10名MET应急人员组成的专家小组中,采用了Delphi设计.
- 进行了两轮调查,没有参与者退缩.
- 这项研究遵循了CREDES关于Delphi研究报告的指导方针.
主要成果:
- 对于MET暂停决定的两步过程达成共识.
- 该决定考虑了患者的状态和病房/组织背景.
- 基本沟通包括口头和书面的患者信息,管理和升级计划的交付.
结论:
- 专家的共识为安全的MET停摆决定和患者移交提供了一个框架.
- 清晰的沟通和安全评估对于将护理转移回病房工作人员至关重要.
- 该框架旨在减少可预防的患者病情恶化,并重复对MET的呼吁.
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