设施间转移团队:一项试点研究评估作为技能维持平台的可行性
Andrew J Medenbach1, Alexandre Nguyen2, Emily Raetz3
1Emergency Department, Navy Medicine Readiness and Training Command Guam, Agana, Guam 96910.
Military medicine
|March 22, 2024
概括
美国海军设施间转移 (IFT) 团队安全运送了重病患者,并没有显示任何不良结果. 这些计划还可以作为在路线护理 (ERC) 技能维持的可行平台.
科学领域:
- 紧急医疗 紧急医疗
- 军人卫生保健 军人卫生保健
- 患者安全 患者安全
背景情况:
- 一家美国海军医院建立了使用现役人员的设施间转移 (IFT) 团队,因为患者的敏度很高,当地资源有限.
- 2017年实施了培训和质量保证方面的改进.
- 路途护理 (ERC) 是美国海军的关键能力缺口,需要熟练的临床医生.
研究的目的:
- 评估由当地来源和训练有素的IFT团队进行的设施间转移期间的患者安全.
- 评估IFT计划作为ERC临床医生的技能维持平台的有效性.
主要方法:
- 从质量保证数据库中回顾了1,193份患者护理报告.
- 收集的数据包括患者人口统计,护理水平,运输原因和提供的干预措施.
- 分析的重点是患者管理的适当性和现役人员的技能维持.
主要成果:
- 10.7%的患者需要进行干预,其中4.9%需要呼吸机管理.
- 在1.8%的运输过程中发生了医疗恶化,其中90.9%的事件得到了适当的管理.
- 据报道,由于运输的直接结果,没有患者受到伤害.
结论:
- 经过当地培训的IFT团队可以安全地运送重症患者,而不会产生不良结果.
- IFT患者的护理包括例行干预,呼吸器管理和患者病情恶化的管理.
- 国际医疗技术培训计划显示出作为路线护理临床医生可行的技能维持平台的潜力.
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