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什么和什么时候进行汇报:一个范围审查,检查跨专业的临床汇报
Julia Paxino1, Rebecca A Szabo2,3,4, Stuart Marshall4
1Department of Medical Education, The University of Melbourne, Melbourne, Victoria, Australia j.paxino@unimelb.edu.au.
BMJ quality & safety
|December 30, 2023
概括
临床汇报 (CD) 有不同的交付和术语. 本综述根据背景对CD进行了分类,区分了提示和例行汇报,以改善医疗保健机构的理解和实施.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 医学教育 医学教育
- 医学的团队合作.
背景情况:
- 临床汇报 (CD) 增强了团队合作和患者护理.
- 目前的CD实现在交付和结构上是可变的.
- 不一致的术语阻碍了CD的理解和规范化.
研究的目的:
- 检查不同CD方法的上下文因素.
- 根据临床背景区分CD方法.
- 为了使CD交付与特定的医疗保健需求保持一致.
主要方法:
- 对CD的经验研究进行系统审查.
- 包括涉及跨专业团队的研究.
- 使用"谁-什么-什么时候-在哪里-为什么-如何"模型进行分析,以确定上下文因素.
主要成果:
- 分析了46篇论文,确定了提示和例行CD类别.
- 提示式CD分为立即或延迟.
- 常规CD分为术后或轮班结束.
结论:
- 拟议的类别为讨论和实施CD提供了实际框架.
- 根据上下文区分CD可以减少混,并有助于话语.
- 提倡特定于环境的语言,并远离一种适合所有人的方法.
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