医生协调与设施间转移验收及时性的协会
Michael J Ward1, Sunil Kripalani1, Daniel Muñoz1
1Department of Emergency Medicine (MJW, SPC, KM) and Department of Biomedical Informatics (MJW), Vanderbilt University Medical Center, Nashville, TN; Veterans Affairs Tennessee Valley Healthcare System, Geriatric Research, Education and Clinical Center (GRECC), Nashville, Tennessee (MJW, SPC), Nashville, TN; Section of Hospital Medicine, Division of General Internal Medicine and Public Health, Center for Clinical Quality and Implementation Research, Vanderbilt University School of Medicine (SK), Nashville, TN; Division of Cardiology, Vanderbilt University School of Medicine (DM), Nashville, TN; Department of Biostatistics, Vanderbilt University School of Medicine (CAJ, DL), Nashville, TN; Owen Graduate School of Management, Vanderbilt University (TJV), Nashville, TN.
高质量的护理协调加快了医生在ST段升高心肌梗塞 (STEMI) 紧急设施间转移期间的接受. 改善协调可以提高这些关键转移期间的患者结果.
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
- 医疗保健服务研究 医疗服务研究
背景情况:
- 对于时间敏感的紧急情况的设施间转移需要快速,复杂的护理过渡.
- 关系协调是护理协调质量的验证指标.
研究的目的:
- 验证关系协调作为紧急转移护理质量的衡量标准.
- 检查协调质量对转移及时性的影响.
主要方法:
- 81名ST段升高心肌梗塞 (STEMI) 患者的回顾性观察队列研究.
- 分析医生对医生对话在设施间的转移.
- 使用通用线性模型来评估关系协调和医生接受的时间之间的关联.
主要成果:
- 关系协调证明了高的评价者间可靠性 (ρ = 0.76).
- 较高的关系协调分数与较短的医生接受时间显著相关 (ρ = -0.38,P <.001).
- 关系协调的40个点的增加与接受时间的25%的减少有关.
结论:
- 关系协调是紧急转移护理质量的可靠指标.
- 增强的关系协调导致在STEMI转移期间医生更快地接受.
- 实施关系协调措施可以改善转移STEMI患者的护理质量和结果.
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