在选择性外科手术中绘制患者教育经验:一项队列研究和横截面调查
James Booker1,2, Jack Penn3,2, Chan Hee Koh3,2,4,5
1Victor Horsely Department of Neurosurgery, National Hospital for Neurology and Neurosurgery, London, UK james.booker.19@ucl.ac.uk.
BMJ open quality
|May 27, 2024
概括
这项研究绘制了患者的外科教育,发现关键信息是在最初的外科诊所,麻醉评估和入院期间收到的. 患者主要使用口头和书面的外科医生信息,并通过互联网补充,以了解他们的程序.
科学领域:
- 进行外科手术患者教育.
- 医疗保健过程映射 医疗保健过程映射
- 患者路径分析
背景情况:
- 了解患者对手术的学习对于有效的教育至关重要.
- 当前的患者教育策略可能与关键信息传递点不一致.
研究的目的:
- 开发一个过程地图,说明患者何时了解拟议的手术.
- 识别用于外科自我教育的患者资源.
主要方法:
- 混合方法设计:利益相关者采访,电子医疗记录 (EHR) 验证和患者调查.
- 一个英国中心50名选择性脊柱手术患者的回顾性队列.
- 过程地图是从14个多学科团队采访中开发的,并与EHR数据验证.
主要成果:
- 在16个事件类别中确定了342次遭遇.
- 接收患者信息的关键时间点:初始手术诊所 (88%),麻醉术前评估 (96%) 和手术入院 (100%).
- 患者的主要资源:口头外科医生信息 (100%),书面外科医生信息 (52%) 和互联网 (40%).
结论:
- 过程映射有效地可视化了患者的手术旅程.
- 最初的外科诊所,麻醉评估和入院对于患者信息传递至关重要.
- 未来的患者教育干预应针对这些关键时间点.
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