OrthoPass: 在实施整形外科患者交换模板后的长期结果
Harry M Lightsey1, Caleb M Yeung, Laura P Rossi
1From the Harvard Combined Orthopaedic Residency Program, Harvard Medical School, Boston, MA (Dr. Lightsey); the Rothman Orthopaedic Institute/Thomas Jefferson University Spine Fellowship Program, Philadelphia, PA (Dr. Yeung); the Department of Orthopaedic Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA (Dr. Rossi, Dr. Harris, and Dr. Stenquist); and the Department of Orthopaedic Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA (Dr. Chen).
整形手术交接工具OrthoPass在实施后3.5年,在患者交接质量和安全方面表现出持续的改善. 这种电子工具继续增强骨科手术中的沟通和患者护理.
科学领域:
- 医疗信息学 医疗信息学
- 患者安全 患者安全
- 整形外科手术 整形外科手术
背景情况:
- 标准化的交接工具对于患者护理至关重要,但在手术中未得到充分利用.
- 整形通行证 (OrthoPass) 是I-PASS的改进,旨在改善整形手术手续.
- 之前的数据显示,18个月的持续改善.
研究的目的:
- 评估OrthoPass在实施后3.5年的纵向效果和可持续性.
- 评估OrthoPass对移交质量和提供者对患者安全感知的影响.
主要方法:
- 混合方法研究包括电子移交审查和供应商调查.
- 对移交的坚持和调查数据的比较分析.
- 对提供者的定性反进行主题分析.
主要成果:
- 与18个月的数据相比,5/9个领域的坚持,在2/9个领域有所改善.
- 提供者报告的益处增加了沟通,患者安全和避免错误.
- 定性分析显示了积极和消极的反,为未来的改进提供了信息.
结论:
- 在骨科中,OrthoPass在提高患者移交质量和安全方面表现出长期的有效性.
- 该工具对提供者对患者安全和沟通的看法产生了积极的影响.
- 持续的反对于完善OrthoPass工具和解决发现的缺点至关重要.
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