快速反应系统及其组件与患者结果之间的关联:范围审查
Rebecca J Piasecki1, Cheryl R Dennison Himmelfarb1, Kelly T Gleason1
1Johns Hopkins University, School of Nursing, Student House 310, 525N. Wolfe St., Baltimore, MD 21205, United States.
International journal of nursing studies advances
|December 21, 2023
概括
了解快速响应系统 (RRS) 的组件,如触发器和团队角色,对于改善患者的治疗结果至关重要. 研究表明,RRS中的专业团队和主动角色可以减少不良事件,但需要标准化的报告.
科学领域:
- 医疗保健系统研究 医疗保健系统研究
- 患者安全 患者安全
- 临床操作 临床操作
背景情况:
- 快速反应系统 (RRS) 已被广泛实施,但它们对患者结果的确切影响尚不清楚.
- RRS的关键组成部分,包括医疗应急团队 (MET) 触发器,团队组成和额外的角色,需要进一步调查以了解它们与患者结果的关系.
- 在"不复苏" (DNR) 订单中RRS的参与是另一个需要澄清的领域.
研究的目的:
- 对最近研究快速响应系统的组件进行范围审查.
- 探索RRS组件与患者不良结果之间的关联,特别是医院内心脏骤停和医院死亡率.
主要方法:
- 在PubMed,CINAHL和Embase进行了全面的文献搜索,搜索了2014年11月至2022年6月期间发表的文章.
- 包括专注于快速响应系统及其与医院内心脏骤停相关的研究.
- 提取的数据包括研究设计,位置,样本大小,参与者和系统特征 (MET组成,额外的角色),MET触发因素,医院内心脏骤停和医院死亡率.
主要成果:
- 34项研究符合纳入标准.
- 虽然大多数研究详细介绍了MET触发因素,但很少有人分析了它们与结果的直接关联. 呼吸系统异常和多重触发因素与不良事件有关.
- 专门的MET成员和员工教育和主动圆形化等额外的角色与医院内心脏骤停和患者不良结果的减少有关. 关于DNR订单参与的报告不一致.
结论:
- 快速响应系统的复杂性在当前的文献中并没有完全被捕捉到,这是因为组件和结果的报告不一致.
- 需要进一步的大规模研究来检查不同机构的RRS组件.
- 开发和实施标准化指标对于跟踪RRS数据和优化系统性能以改善患者的治疗结果至关重要.
相关概念视频
01:19Respiratory Assessment: Purpose and Indications
1.1K
Respiratory assessment is a cornerstone of nursing assessments, crucial for the early detection of patient deterioration. This evaluation transcends routine procedures, representing a critical skill nurses must master to ensure optimal patient care.
Objectives and Importance:
The primary goal of respiratory assessment is to evaluate patients at early risk of clinical deterioration. Since respiratory distress often precedes other signs of declining health, breathing patterns and sounds become a...
Objectives and Importance:
The primary goal of respiratory assessment is to evaluate patients at early risk of clinical deterioration. Since respiratory distress often precedes other signs of declining health, breathing patterns and sounds become a...
1.1K
01:11Guidelines for Writing Outcome
2.8K
When developing expected outcomes for a patient care plan, the nurse should adhere to the following recommendations:
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care...
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care...
2.8K
01:15Methods of Documentation VI: Case Management Model
574
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...
574
01:14SBAR 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
01:25Assessment of apical radial pulse
752
Apical-Radial (A-R) Pulse Assessment
The A-R pulse assessment involves simultaneous evaluation of the apical and radial pulses. When the apical and radial pulse rates vary, this assessment helps identify a pulse deficit.
Pre-Procedural Preparation
The A-R pulse assessment involves simultaneous evaluation of the apical and radial pulses. When the apical and radial pulse rates vary, this assessment helps identify a pulse deficit.
Pre-Procedural Preparation
752
01:21Methods of Documentation III: PIE
1.4K
Problem-intervention-evaluation (PIE) is a systematic approach to documentation used in healthcare settings for clinical decision-making and patient care planning. It is a structured approach to organizing patient data based on problems, interventions, and evaluations. Here's a breakdown of its key features and considerations:
1.4K