关于经期手术团队基础的发病率和死亡率会议的观点:混合方法研究研究
Joint Commission journal on quality and patient safety
|November 12, 2023
概括
基于团队的发病率和死亡率会议 (TBMMs) 显示出对质量改善的希望. 然而,必须解决诸如专业间沟通障碍和领导力支持等挑战,以实现有效实施,并确保所有团队成员都感到参与.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 患者安全 患者安全
- 医学教育 医学教育
背景情况:
- 发病率和死亡率会议 (MMC) 是传统的质量改进工具,通常涉及单一学科.
- 越来越多的专业之间以团队为基础的发病率和死亡率会议 (TBMMs) 的趋势是为了加强不良事件审查.
研究的目的:
- 调查外科医疗保健专业人员对MMC和TBMM的看法.
- 确定在医疗保健机构实施TBMM的障碍和促进者.
主要方法:
- 一种混合方法的方法,将全国调查 (N=1,466) 和定性访谈/重点小组 (N=14) 结合起来.
- 使用克鲁斯卡尔-瓦利斯测试分析的调查数据;通过感应主题分析分析的定性数据.
- 同时对定量和定性数据进行三角测量,以提供全面的见解.
主要成果:
- 调查受访者普遍认为MMCs和TBMMs是积极的,引用尊重,实践影响和教育价值.
- 与外科医生和麻醉师相比,护士发现TBMM更具有教育意义,但报告说说话的舒适性较低.
- 定性发现揭示了微,中和宏观层面的障碍 (例如,负面互动,领导力问题) 和促进者 (例如,关系,领导力买入).
结论:
- 虽然对TBMM的看法是积极的,但仍然存在重大实施障碍.
- 提高包容性和优化TBMM的价值需要进一步的努力,而不仅仅是邀请团队成员.
- 制定克服已识别的障碍的战略对于提高TBMM有效性至关重要.
相关概念视频
Methods of Documentation VI: Case Management Model
576
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
576
Cardiomyopathy VII: Pre and Post Operative Nursing Management
15
Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
15
Methods of Documentation II: POMR
966
The Problem-Oriented Medical Record (POMR) revolutionized medical record-keeping by introducing a systematic approach focusing on the patient's problems rather than merely listing symptoms. Dr. Lawrence Weed's introduction of this method in the 1960s marked a significant advancement in medical documentation. The POMR framework consists of four key components: the database, problem list, plan of care, and progress notes.
966
Peripheral Artery Disease V: Postoperative Nursing Management
11
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
11
Barriers to Effective Communication II
3.7K
The barriers to effective communication also include cultural barriers, semantic barriers, gender barriers, and time constraints.
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
3.7K
SBAR II: Application of SBAR
4.4K
SBAR is an effective communication tool used by healthcare professionals to communicate patient information accurately. SBAR stands for Situation, Background, Assessment, and Recommendation. For a better understanding, an example is given below.
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...
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...
4.4K


