老年手术患者的麻醉,手术和初级保健提供者之间的手术前沟通
Joint Commission journal on quality and patient safety
|February 15, 2024
概括
外科医生,麻醉师和初级保健提供者之间的沟通不良导致不良事件. 患者重视清晰的沟通,但往往缺乏,特别是在医院和社区护理团队之间.
科学领域:
- 医疗保健通讯 医疗保健通讯
- 手术患者护理手术患者护理
- 专业间合作 专业间合作
背景情况:
- 非最佳的临床医生沟通是导致医疗错误,医疗费用增加和患者和医生不满的重要原因.
- 有效的沟通对于患者安全和高效的医疗保健服务至关重要.
研究的目的:
- 在农村学术医疗中心评估初级保健提供者,外科医生和麻醉提供者之间的术前跨专业沟通.
- 了解患者对手术前沟通的重要性和质量的看法.
主要方法:
- 对初级保健提供者,麻醉提供者,外科医生和手术患者进行了横截面调查.
- 调查是针对每个利益相关者群体量身定制的,以收集有关手术前沟通的具体见解.
主要成果:
- 手术前的沟通被认为是物流上的挑战,特别是在不同的卫生系统.
- 虽然外科医生和麻醉提供者报告了频繁的沟通,但初级保健提供者很少与麻醉提供者沟通 (92.5%).
- 患者 (96.1%) 认为术前沟通至关重要,但只有40.4%的人认为提供者进行有效沟通,强调关键信息传输的必要性.
结论:
- 在农村环境中,外科医生,麻醉师和初级保健提供者之间很少有沟通,这与患者的期望相反.
- 识别和解决住院围手术和门诊初级保健团队之间的沟通障碍至关重要.
- 未来的研究应该集中在加强医院和社区提供者之间的沟通策略上,以尽量减少并发症和医院再入院.
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