开发定制的高容量低复杂性 (HVLC) 剧院列表,重点是培训以应对COVID-19的影响:试点研究
Sarah Zhao1, Alex Rothnie2, Akriti Nanda3
1General Surgery, Kingston Hospital National Health Service (NHS) Foundation Trust, London, GBR.
Cureus
|December 21, 2023
概括
这个试点项目成功地将外科训练与选择性手术恢复相结合,提高了实习生满意度,减少了在COVID-19大流行期间不影响患者安全的等待列表.
科学领域:
- 外科教育的外科教育
- 医疗保健管理的管理
- 公共卫生 公共卫生
背景情况:
- 随着COVID-19大流行,医疗保健和外科手术培训受到严重影响.
- 出现了大量的选择性外科等待名单积压和培训赤字.
- 解决培训需求和选择性恢复对于医疗保健系统至关重要.
研究的目的:
- 试点一个高体积低复杂性 (HVLC) 计划,将外科训练与选择性手术恢复相结合.
- 评估该计划在管理等待名单和改善外科手术培训方面的有效性.
- 评估HVLC计划中的患者,工作人员和实习生经验.
主要方法:
- 2021年6月和2022年3月进行了两次试点HVLC培训名单.
- 每天有三个并行剧院名单,由咨询培训师监督,遵循标准化的HVLC协议.
- 实习生和培训师参与,使用列表进行基于工作的评估;程序包括修复和损伤切除.
主要成果:
- 对29名患者 (平均年龄为52.4岁) 进行了34项选择性手术.
- 没有报告术后再入院或并发症.
- 100%的实习生表示满意并愿意推该计划.
结论:
- 该HVLC计划成功地改善了外科培训,并加速了选修等候名单的恢复.
- 该模型在维持患者安全方面表现出有效性,同时应对流行病引起的医疗保健挑战.
- 这种方法提供了一个可行的解决方案,用于手术培训缺口和选择性积压管理在后疫情医疗保健.
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