在美国沟通设施间转移患者信息的问题和挑战:系统性审查
Benjamin J Galatzan1, Elizabeth Johnson2, Tonya Judson3
1School of Nursing, The University of Alabama at Birmingham, Birmingham, AL, USA galatzan@uab.edu bgalatzan@icloud.com.
Research and theory for nursing practice
|June 7, 2024
概括
由于通信错误,设施间的患者转移可能会导致不良结果. 标准化工具和技术集成,如远程医疗,对于改善患者信息交换和结果至关重要,特别是对于农村人口.
科学领域:
- 医疗保健管理的管理
- 医疗信息学 医疗信息学
- 患者安全 患者安全
背景情况:
- 设施间转移增加了由于通信故障的患者风险.
- 由于获得医疗保健的差异,农村患者面临更高的转移率和更差的结果.
- 现有的文献缺乏对护理特定转移沟通的关注.
研究的目的:
- 系统地审查美国的设施间转移通信实践.
- 识别当前的沟通方法和挑战.
- 为改进的传输协议的开发提供信息.
主要方法:
- 按照PRISMA 2020指南进行系统的文献审查.
- 在PubMed,CINAHL和Scopus (2013-2022) 中进行了搜索.
- 包括对美国成人和儿科转移的同行评审文章.
主要成果:
- 在763篇审查的文章中,有24篇文章符合纳入标准.
- 确定的主题:患者特征,地理障碍,沟通挑战,转移过程,互操作性,数字干预和标准化工具.
- 突出了基于护理的沟通实践中的研究缺口.
结论:
- 需要一个标准化,集成的设施间转移通信工具.
- 远程医疗,健康信息交换和互操作性可以增强通信.
- 适当的基础设施和资源对于农村医疗保健提供者来说至关重要,以改善患者的治疗结果.
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