农村创伤团队发展课程积极影响其预期目标
Zachary M Bauman1, Hason Khan1, Ashley Raposo-Hadley1
1Division of Trauma, Emergency General Surgery and Critical Care Surgery, Department of Surgery, University of Nebraska Medical Center, Omaha, NE, USA.
The American surgeon
|January 13, 2024
概括
农村创伤团队发展课程 (RTTDC) 显著减少了农村医院的急诊室停留时间和转移决策时间. 这种创伤训练也减少了成像的使用,但没有影响患者的死亡率.
科学领域:
- 医学教育 医学教育
- 创伤护理 创伤护理
- 农村卫生系统 农村卫生系统
背景情况:
- 农村创伤团队发展课程 (RTTDC) 旨在改善资源有限的农村环境中的创伤患者管理.
- 关于RTTDC在实现其预期目标方面的有效性存在有限的研究.
- 本研究评估了RTTDC对农村创伤护理关键绩效指标的影响.
研究的目的:
- 分析农村创伤团队发展课程 (RTTDC) 的有效性.
- 假设和评估课程目标在完成后的改进.
- 为在农村医疗保健中更广泛地实施RTTDC提供证据.
主要方法:
- 从2015年到2021年进行的前性观察性研究.
- 包括16家农村医院完成RTTDC培训,由一级创伤中心领导.
- 分析了RTTDC前后的患者数据,重点关注ED停留时间,转移决策时间,成像利用率和死亡率.
主要成果:
- 在RTTDC后,紧急部门 (ED) 停留时间 (64分钟) 和转移时间的决定 (62分钟) 显著减少.
- 在RTTDC实施后,获得的放射和CT扫描的平均数量显著下降 (P < .001和P = .002).
- 没有发现对患者死亡率有重大影响 (P = .941).
结论:
- RTTDC有效地减少了ED停留时间,转移时间的决定和农村创伤护理中不必要的成像.
- 该课程对资源管理和患者吞吐量产生了积极影响.
- 建议将RTTDC扩展到更多的农村医院,以加强创伤护理的提供.
相关概念视频
Post-traumatic Stress Disorder
35
Post-traumatic stress disorder (PTSD) is a psychiatric condition that arises following exposure to traumatic events such as natural disasters, forced displacement, or severe accidents. It significantly impairs individuals' ability to cope with daily activities and disrupts their emotional and psychological equilibrium.
Symptoms and Behavioral Manifestations
A spectrum of distressing symptoms characterizes PTSD. Recurrent flashbacks, where individuals involuntarily relive traumatic events,...
Symptoms and Behavioral Manifestations
A spectrum of distressing symptoms characterizes PTSD. Recurrent flashbacks, where individuals involuntarily relive traumatic events,...
35
Community Based Intervention
43
Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
43
Family Therapy
46
Family therapy conceptualizes psychological challenges as arising from dysfunctional interactions within the family unit, rather than as isolated issues within individuals. This approach seeks to address and transform the patterns of communication, roles, and relationships within families to promote healthier dynamics and emotional well-being for all members.
Strategic Family Therapy
Strategic family therapy emphasizes resolving communication barriers and improving problem-solving abilities...
Strategic Family Therapy
Strategic family therapy emphasizes resolving communication barriers and improving problem-solving abilities...
46
Robbers Cave
14.3K
During the 1950s, the landmark Robbers Cave experiment demonstrated that when groups must compete with one another, intergroup conflict, hostility, and even violence may result. At the Oklahoman summer camp, two troops of boys—termed the Rattlers and the Eagles—took part in a week-long tournament. During this time, their negativity culminated in derogatory name-calling, fistfights, and even vandalism and destruction of property. However, this work also revealed that such tension...
14.3K
Couples Therapy
44
Couples therapy is a therapeutic approach designed to help individuals in intimate relationships address conflicts, improve communication, and foster healthier dynamics. It is appropriate for couples at various stages, including those who are dating, married, or in long-term partnerships, and aims to support partners in navigating their unique relational challenges.
Core Principles and Techniques
Couples therapy often incorporates cognitive-behavioral principles to identify and modify negative...
Core Principles and Techniques
Couples therapy often incorporates cognitive-behavioral principles to identify and modify negative...
44
Group Therapy
35
Group therapy is a sociocultural approach to psychological treatment, where individuals with shared psychological challenges come together under the guidance of a mental health professional. This therapeutic modality offers unique opportunities for individuals to connect, share, and grow within the context of a supportive group. By fostering mutual understanding and collaboration, group therapy can address a range of psychological concerns effectively, often complementing or surpassing the...
35


