创伤患者从重症监护过渡:对美国创伤中心的调查
Jason A Saucier1, Mary S Dietrich, Cathy Maxwell
1Department of Advanced Practice, Penn Medicine, Philadelphia, Pennsylvania, and Trauma Surgical Critical Care, Vanderbilt University School of Nursing, Nashville, Tennessee (Dr Saucier); Vanderbilt University School of Medicine, and Biostatistics, Hearing, & Speech, Ingram Cancer Center, Vanderbilt School of Nursing, Nashville, Tennessee (Dr Dietrich); Vanderbilt University School of Nursing, Nashville, Tennessee (Drs Maxwell and Minnick); and Perelman School of Medicine, University of Pennsylvania, Philadelphia (Dr Lane-Fall).
患者从重症监护中过渡需要改进. 许多创伤中心缺乏标准化的交接工具,居民教育和电子健康记录功能,突出了改善患者护理过渡的机会.
科学领域:
- 创伤护理的护理人员.
- 患者安全 患者安全
- 医疗保健系统工程 医疗保健系统工程
背景情况:
- 临床单位之间的患者转移是重症监护关节.
- 结构化的患者转变是至关重要的,但报告不足.
- 概念模型可以阐明影响患者过渡的力量.
研究的目的:
- 描述创伤中心用于患者过渡的过程和资源.
- 专注于重症监护对非重症监护单位的转移.
主要方法:
- 一级和二级创伤中心的横截面调查 (2020年9月至11月).
- 数据补充了美国医院协会2018年医院调查的数据.
- 响应率为27% (567个中心中的152个).
主要成果:
- 观察到过渡资源和流程的显著变化.
- 只有36%的中心使用手提工具.
- 关于过渡的强制居民教育报告了70%.
- 电子医疗记录具有影响过渡的功能,仅在6%的中心存在.
结论:
- 尽管专注于高风险的转型,但仍存在显著的改进机会.
- 需要在创伤中心加强资源和标准化流程.
- 解决过渡实践中的变异性对于患者的治疗结果至关重要.
相关概念视频
Discharge Summary Forms
Here's a detailed look at the key components and guidelines for preparing a discharge summary:
Types of Reports I: Hands-off Report
Following are the key components and categories of hand-off reports:
Purpose and Process:
Cardiomyopathy VII: Pre and Post Operative Nursing Management
Flail Chest-II
Assessment:
1. Clinical Evaluation:
History:
Tracheostomy Decannulation
Description of the Procedure
Decannulation refers to the permanent removal of the tracheostomy tube, signaling the resolution of the condition that initially necessitated the tracheostomy. The process requires a well-coordinated interplay between...
SBAR II: Application of SBAR
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...


