长期可持续性和I-PASS交付的适应性 I-PASS交付的长期可持续性和适应性
Joint Commission journal on quality and patient safety
|August 30, 2023
概括
在实施I-PASS系统六年后,大多数医院服务都使用结构化移交,提高了患者安全. 具有较高I-PASS遵守率的服务在护理过渡期间表现出更有效的沟通.
科学领域:
- 医疗保健的质量和安全
- 医学沟通 医学沟通
- 卫生系统研究 卫生系统研究
背景情况:
- 在护理过渡期间的沟通不足是一个重要的医疗保健质量和安全问题.
- 马萨诸塞州总医院 (MGH) 在2013年实施了I-PASS标准化交付系统,以减少不良事件.
- 这项研究评估了实施六年后的移交做法.
研究的目的:
- 在整个医院实施I-PASS系统六年后,对临床医生交接实践进行描述.
- 在现实临床环境中评估I-PASS系统的遵守性和有效性.
- 将当前的移交实践与初始的干预后数据和外部基准进行比较.
主要方法:
- 一项涉及标准化采访和10个部门临床医生的直接观察的横截面研究.
- 评估了156个口头和182个书面的患者移交.
- 对I-PASS元素使用与MGH早期干预后数据和I-PASS研究小组的结果进行定性比较.
主要成果:
- 90%的部门至少部分遵守了I-PASS系统.
- 每位患者的平均交接时间从0.6到2.1分钟不等.
- 在口头和书面交付方面,MGH的遵守程度与I-PASS研究小组的结果相当或高于I-PASS的结果.
结论:
- 实施六年后,大多数服务都使用了包含I-PASS元素的结构化移交.
- 在不同的医院服务中,对I-PASS系统的遵守程度有所不同.
- 遵守I-PASS标准的服务表现最为高效,这表明对通信效率有积极的影响.
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