在阿曼的儿科三级护理单位评估标准交付工具
Hilal Al Riyami1, Sharifa Al-Makhmari2, Sarah Al Balushi2
1Child Health Department, Sultan Qaboos University Hospital, Muscat, OMN.
Cureus
|September 8, 2023
概括
I-PASS交付工具显著改善了儿科部门的医生沟通和患者安全. 这种结构化的系统提高了交付质量和培训人员对管理患者护理的信心.
科学领域:
- 医学沟通 医学沟通
- 患者安全 患者安全
- 儿科医疗保健 儿科医疗保健
背景情况:
- 有效的医生移交对于患者护理的连续性至关重要.
- 结构化交付工具显然可以减少医院获得的伤害.
- 该I-PASS系统旨在加强患者转移期间的书面和口头沟通.
研究的目的:
- 评估I-PASS交付工具的适用性和影响.
- 提高儿童健康部门的护理质量和患者安全.
- 评估沟通结构,患者识别,应急准备和满意度的变化.
主要方法:
- 在儿科环境中实施I-PASS交付工具.
- 在实施前和之后,对20名实习生进行了关于交付结构和信心水平的调查.
- 测量对交付协议的遵守率.
主要成果:
- 70%的实习生发现I-PASS后的移交结构良好,比之前的30%显著增加 (P = .003).
- 80%的参与者能够识别病情恶化的患者,60%的参与者对应急管理有信心.
- 参与者的满意度从80%上升到95%,坚持率从57.4%提高到94%.
结论:
- I-PASS系统是一个可行的和可适应的临床交付工具.
- 实施I-PASS带来了更好的随时交付和增强的患者安全.
- 这项研究支持使用I-PASS来改善儿科的临床沟通和护理质量.
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