手术中的每日交接:系统性审查和干预和结果的新型分类学
Jessica M Ryan1,2,3, Fiachra McHugh4, Anastasija Simiceva1
1RCSI SIM Centre for Simulation Education and Research, RCSI, Dublin, Ireland.
BJS open
|March 1, 2024
概括
改善外科手术交接对于患者安全至关重要. 这次审查发现,包括工具和教育在内的各种干预措施有效地提高了外科手术交接流程和患者的结果.
科学领域:
- 医学教育 医学教育
- 患者安全 患者安全
- 手术护理 手术护理
背景情况:
- 糟糕的外科手术交接会对患者的治疗结果产生负面影响.
- 支持安全手术移交干预的证据有限.
- 本次审查解决了需要有效的外科手术移交策略的需求.
研究的目的:
- 系统地审查旨在改善轮班末期手术移交的干预措施.
- 开发一个新的手术移交干预和结果的分类学.
- 为手术转移研究引入修改后的质量评估工具.
主要方法:
- 在Ovid MEDLINE,PubMed,Embase和Cochrane数据库中搜索到2023年4月.
- 包括医生之间每天在医院进行手术交接的比较研究.
- 根据干预类型和评估结果分组研究.
主要成果:
- 分析了41项涉及23000多名患者的研究.
- 确定了干预措施,例如交付工具,流程标准化,教育和记忆技术.
- 在整个过程,工作人员和患者的结果中观察到显著的改善.
结论:
- 大多数研究表明,高质量的手术移交改善了患者的治疗结果.
- 尽管研究中的方法异质,但各种干预措施都显示出有效性.
- 新的分类学和质量评估工具旨在标准化未来的研究.
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