前线提供者和患者对改善急诊部诊断安全的看法:一种定性研究
Joint Commission journal on quality and patient safety
|April 20, 2024
概括
前线医疗保健提供者和患者确定了改善急诊部 (ED) 诊断安全的关键领域. 他们的见解突出了33种潜在的干预措施,以减少诊断错误和提高患者护理.
科学领域:
- 医疗保健的质量和安全
- 医学诊断 医学诊断 医学诊断
- 紧急医疗 紧急医疗
背景情况:
- 诊断错误是急诊室 (ED) 的一个重大问题.
- 关于改善ED诊断过程的前线提供者和患者观点的研究有限.
- 该研究解决了对提高高风险ED环境中的诊断安全的洞察力的需求.
研究的目的:
- 确定医疗保健提供者和患者对ED诊断过程的观点.
- 确定ED诊断途径中的漏洞.
- 征求潜在的干预措施,以提高诊断安全.
主要方法:
- 在两个卫生系统中,与10名ED医生,15名ED护士和9名患者/护理人员进行了半结构化采访.
- 利用国家科学院,工程院和医学院的ED-Adapted诊断过程框架来指导面试问题.
- 在转录的采访中进行定性主题分析,以确定主题和分类发现.
主要成果:
- 漏洞和干预机会被分为五个领域:团队动态/沟通,信息收集,ED组织/系统,患者教育和电子健康记录 (EHR) /患者门户使用.
- 确定了33种潜在的干预措施来提高诊断安全,其中17种是以提供者为中心的,16种是以患者为中心的.
- 例如,改善推医生和ED团队之间的沟通,以及优化对患者门户网站的测试结果的自动发布.
结论:
- 前线提供者和患者为改善ED诊断安全提供了宝贵的见解.
- 通过定性分析确定了许多漏洞和潜在的干预措施.
- 需要进一步的研究来完善,实施和评估这些建议干预措施的有效性.
相关概念视频
Documentation of Nursing Diagnosis
1.2K
The nurse documents nursing diagnoses and enters them into the patient record. The identified patient's nursing diagnosis is either written out with a plan of care or entered into the electronic health record.
In some settings, data-driven computerized decision support systems are in place, allowing for more accurate nursing diagnoses. The database within one of these systems includes diagnostic labels defining characteristics, activities, and indicators for nursing. A nurse enters...
In some settings, data-driven computerized decision support systems are in place, allowing for more accurate nursing diagnoses. The database within one of these systems includes diagnostic labels defining characteristics, activities, and indicators for nursing. A nurse enters...
1.2K
Methods of Documentation III: PIE
1.4K
Problem-intervention-evaluation (PIE) is a systematic approach to documentation used in healthcare settings for clinical decision-making and patient care planning. It is a structured approach to organizing patient data based on problems, interventions, and evaluations. Here's a breakdown of its key features and considerations:
1.4K
Guidelines and Strategies for Safe Computer Charting
802
The guidelines and strategies provided by the American Nurses Association (ANA) and the Canadian Nurses Association (CNA) offer essential principles for ensuring safe and secure computer charting systems in healthcare settings. Let's break down each recommendation:
Maintain Confidentiality and Security:
Maintain Confidentiality and Security:
802
Errors occurring during blood pressure monitoring
719
Blood pressure monitoring is a crucial clinical procedure in diagnosing and managing various cardiovascular conditions. Despite its significance, the accuracy of blood pressure measurements can be compromised by multiple factors, potentially leading to either falsely high or low readings. These inaccuracies are critical as they can significantly impact patient care. So, it is vital to understand these challenges deeply and adopt strategic approaches to minimize errors.
Several factors...
Several factors...
719
Methods of Documentation VI: Case Management Model
570
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
570
Methods of Documentation V: CBE
900
Charting by Exception, or CBE, is a method of documentation used in healthcare, particularly in nursing, that focuses on documenting only significant or abnormal findings rather than recording every detail. This approach aims to streamline the documentation process, improve efficiency, and ensure that healthcare providers can quickly identify deviations from normalcy in patient assessments.
In CBE, healthcare professionals establish predefined standards of practice that define what constitutes...
In CBE, healthcare professionals establish predefined standards of practice that define what constitutes...
900


