在实施小组退出过程之前和之后,紧急医疗居民之间的退出期间的中断
Andrea Lin1, Makenna Brezitski2, Marko Zegarac2
1Penn State College of Medicine, Hershey, Pennsylvania.
The western journal of emergency medicine
|January 11, 2024
概括
与个人退出相比,紧急部门的团体退出显著减少了中断. 这一过程可以通过尽量减少在居民移交期间的中断来改善患者安全和工作流程.
科学领域:
- 紧急医疗 紧急医疗
- 改善医疗保健质量 改善医疗保健质量
- 患者安全 患者安全
背景情况:
- 在急诊室 (ED) 签约期间的中断可能会对工作流程,患者护理,安全,文档准确性和居民教育产生负面影响.
- 有效的退出程序对于高急性环境中的护理连续性和患者安全至关重要.
研究的目的:
- 量化紧急医疗 (EM) 居民退出期间中断的频率和类型.
- 为了比较之前和之后的中断率,实施一个涉及住户和主治医生的小组退出过程.
主要方法:
- 在2021年4月至12月期间观察并编码了EM居民签约的便利样本.
- 收集的数据包括中断频率,类型 (紧急与非紧急,面对面与电话),持续时间和患者数量.
- 观察被分为2021年7月实施集团退出之前和之后的时期.
主要成果:
- 与个人退出 (n=58) 相比,群体退出 (n=65) 的总中断 (44 vs. 73) 和每分钟中断 (0.05 vs. 0.16) 较少.
- 在群体退出期间,非突发性 (38 vs. 67) 和亲自 (14 vs. 44) 的中断显著减少.
- 虽然团体退出的总体持续时间较长,但中断的减少表明效率有所提高.
结论:
- 集体退出,涉及住户和主治医生,导致中断的数量和速度显著下降.
- 这种结构化的方法可以减轻中断对患者安全和ED临床工作流程的不利影响.
- 实施群体退出代表了一个潜在的策略,以提高在紧急医疗中的患者移交的质量和安全性.
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