开发和实施内部医学实习生升级协议
Seda Babroudi1, Sharanya Mohanty1, Aliysa Rajwani2
1Department of Medicine, Tufts Medical Center, Tufts University School of Medicine, Boston, Massachusetts.
ATS scholar
|January 10, 2024
概括
一个升级护理协议改善了住院人员的夜间患者安全. 居民们对患者日益升级的担忧感到更加舒适,从而提高了人们对安全的感觉.
科学领域:
- 医学教育 医学教育
- 患者安全 患者安全
- 医疗保健管理的管理
背景情况:
- 在培训中的医生在一夜之间减少了直接监督.
- 这需要实习生对患者进行有效的评估和升级.
- 如果不能升级,可能会导致不良的患者安全事件.
研究的目的:
- 标准化一夜之间患者病情恶化的评估,用于内科住院医生.
- 加强居民和监督医生之间的沟通.
- 提高在高等学术医疗中心的患者安全感知.
主要方法:
- 开发并实施了一夜间升级护理协议.
- 利用章伙伴和对居民,监督医生和护理人员的教育活动.
- 进行了介入前和介入后的匿名调查,以评估协议使用,沟通和安全感知.
主要成果:
- 82%的居民表示在实施后使用该协议.
- 住院医生监督医生的沟通频率没有显著变化.
- 改善住院居民感知到的患者安全性 (47%早期,72%介入后延迟;P=0.02).
- 实习生报告说,他们对与监督医生联系的恐惧减少了.
结论:
- 采用多式联络方式,成功实施了护理升级协议.
- 该协议规范了一夜之间居民升级.
- 随着升级,改善了居民感知到的患者安全性和内科医生的舒适性.
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