检查清单可以帮助执照前护士识别输血相关的不良事件吗?
Sue S Scott1, Marcia Scanlon, Michele McKelvey
1Author Affiliations: Associate Professor (Dr Scott) and Professor and Chairperson (Dr Scanlon), School of Nursing, Westfield State University, Westfield, Massachusetts; Associate Professor (Dr McKelvey), School of Nursing, Central Connecticut State University, New Britain; Chief Executive Officer (Dr Nathanson), OptiStaTim, Longmeadow, Massachusetts; and Medical Director (Dr Andrzejewski), Baystate Health Transfusion Medicine Services, Springfield, Massachusetts.
输血相关不良事件 (TAAE) 检查清单显著提高了护理学生在患者护理期间识别不良事件的能力. 这种工具导致了更快的识别和更少的错过事件,提高了患者的安全.
科学领域:
- 护理教育 护理教育
- 患者安全 患者安全
- 临床模拟 临床模拟
背景情况:
- 及早识别输血相关不良事件 (TAAEs) 对患者安全至关重要.
- 以前的研究表明,TAAE检查清单可以增强识别行为.
研究的目的:
- 为了确定TAAE检查清单是否会增加护理学生的识别行为.
- 评估TAAE检查清单对护理学生TAAE识别的影响.
主要方法:
- 一项前性,随机对照性研究,涉及62名护理学生.
- 参与者模拟了一个注册护士角色,一个患者显示TAAE指标.
- 被试被随机分配使用或不使用TAAE检查清单;测量TAAE识别的时间.
主要成果:
- 检查清单组 (CG) 发现TAAE比非CG (P <.001) 快4分钟.
- CG受试者表现出完全错过的TAAE的比率明显较低.
结论:
- 一个TAAE检查清单可以提高输血安全.
- 检查清单促进TAAE的早期识别和治疗.
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