基于医院的血管接入小组的作用和对患者安全的影响:一项多方法研究
Martha Quinn1, Jennifer K Horowitz2, Sarah L Krein3,4
1The School of Public Health, University of Michigan, Ann Arbor, Michigan, USA.
Journal of hospital medicine
|December 15, 2023
概括
血管接入小组 (VATs) 主要插入外围插入的中心导管 (PICCs) 和中线导管. 他们在设备选择中的决策作用有限,经常面临医生抵抗,突出需要文化变革.
科学领域:
- 血管接入设备管理系统
- 医疗保健团队结构和功能 医疗保健团队结构和功能
- 提高护理的质量 提高护理的质量
背景情况:
- 护士领导的血管接入小组 (VATs) 通常管理外围插入的中心导管 (PICCs) 和中线导管.
- 关于这些专业护理团队的具体结构和功能,数据有限.
研究的目的:
- 在PICC和中线导管使用和管理的背景下调查增值税的作用,功能和组成.
- 了解增值税在医院环境中如何运作.
主要方法:
- 一项描述性的多方法研究,结合了62家医院的在线调查和10个地点74名临床医生的定性访谈.
- 使用频率和百分比分析调查数据;采访记录通过快速分析和矩阵方法分析.
主要成果:
- 超过77%的医院有现场增值税,平均7名护士,主要专注于设备插入.
- 增值税涉及设备插入,护理,移除和员工教育,但对决策的投入有限,面临医生抵抗.
- 不同机构的增值税特征和功能存在显著差异.
结论:
- 实现增值税的全部好处需要改变医院文化,医生更好地接受增值税,护士参与决策.
- 参与和赋权增值税的干预措施是必要的,以优化其对患者护理的影响.
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