试点研究开发一个手术前的"心胸临床移交工具"及其对移交质量的影响
John David Kehoe1,2, Patrick Higgins3, Sean Barrett3
1Department of Cardiothoracic Surgery, Cork University Hospital, Wilton, Cork, Ireland. Jdkehoe95@gmail.com.
Irish journal of medical science
|December 8, 2023
概括
实施新的心胸传递工具显著改善了手术前患者信息传输质量. 这种标准化的方法通过减少临床交接中断的负面影响来提高患者的安全性.
科学领域:
- 医学科学 医学科学 医学科学
- 手术护理 手术护理
- 患者安全 患者安全
背景情况:
- 临床移交对于手术患者的旅程至关重要,但存在风险.
- 虽然心胸外科手术的术后移交改善了安全性,但手术前信息传播仍然是一个挑战.
- 整个手术团队的有效沟通对于患者的福利至关重要.
研究的目的:
- 评估一种新的交付工具对手术前心胸病患者信息传输的影响.
- 评估交付质量的改进,并确定持续时间和中断的变化.
- 提供与既定指导方针相一致的心胸病特异性手术前移交工具.
主要方法:
- 采用前后研究设计来评估交付质量.
- 根据英格兰皇家外科医生学院的指导方针,引入了部内开发的"心胸临床交接工具".
- 在干预之前和之后分析了40个临床移交.
主要成果:
- 干预后的交付质量显著改善,从63.75%提高到88.57% (p < 0.001).
- 平均交付时间从72.1秒增加到102.4秒 (p = 0.003).
- 虽然干扰仍然发生,但交付工具减轻了干预后组对质量的负面影响.
结论:
- 临床移交工具可以提高心胸外科手术中术前移交质量.
- 开发的工具有效地保护了患者的福利,通过减轻与不良交付实践相关的风险,如中断.
- 这项研究引入了基于RCSE指南的第一个心胸病特异性手术前移交工具.
更多相关视频
10:42Design to Implementation Study for Development and Patient Validation of Paper-Based Toehold Switch Diagnostics
Published on: June 17, 2022
2.9K
05:04Author Spotlight: Evaluating Clinicians' Adoption of Ultrasound-Guided Vascular Cannulation Through Simulation Training
Published on: August 9, 2024
953
相关概念视频
01:25Types of Reports I: Hands-off Report
915
A hand-off report, also known as a change-of-shift report, is a crucial nursing process that ensures the smooth transition of patient care responsibilities between nursing staff.
Following are the key components and categories of hand-off reports:
Purpose and Process:
Following are the key components and categories of hand-off reports:
Purpose and Process:
915
01:29SBAR I: Understanding the Concept
4.5K
Effective communication among healthcare professionals during hand-off reporting is essential to delivering safe and continuous patient care. Common professional interactions include reports to healthcare team members, hand-off, and transfer reports. Nurses routinely report information to other healthcare team members and also urgently contact healthcare providers to report changes in patient status.
Standardized methods of communication have been developed to ensure that information is...
Standardized methods of communication have been developed to ensure that information is...
4.5K
01:15Nursing Implementation
5.0K
Implementation is the execution of the nursing care plan developed during the planning phase.
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
5.0K
01:19Handwashing II: Pre-procedure and Initial Procedure Steps
916
The pre-procedure steps of handwashing include removing jewelry and rolling up sleeves. However, many organizations allow staff to wear wedding rings.
The hand washing procedure itself includes the following steps. First, cover cuts, if any, on hands with a waterproof dressing. Cuts and abrasions can become contaminated with bacteria hindering the ability to clean the area thoroughly. In addition, repeated hand washing can worsen an injury. The nails must be short and clean, without nail...
The hand washing procedure itself includes the following steps. First, cover cuts, if any, on hands with a waterproof dressing. Cuts and abrasions can become contaminated with bacteria hindering the ability to clean the area thoroughly. In addition, repeated hand washing can worsen an injury. The nails must be short and clean, without nail...
916