外科手术术内移交倡议:使用SHRIMPS标准化手术室通信
Wesley A Stephens1, Madeline J Anderson1, Brittany E Levy1
1From the Department of Surgery, University of Kentucky Healthcare, Lexington, KY (Stephens, Anderson, Levy).
Journal of the American College of Surgeons
|June 19, 2024
概括
为手术技术人员提供手术室 (OR) 的标准化显著改善了沟通. 这项质量改进计划确保了员工更换期间的关键信息交换,提高了患者的安全.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 外科手术的安全性
- 医学中的沟通.
背景情况:
- 操作室 (OR) 移交缺乏普遍的标准化,尽管在其他医疗机构中已证明有好处.
- 由于担心在人员更换期间手术技术人员的交换不足,这促使了这一质量改进倡议.
研究的目的:
- 为外科技术人员开发和实施标准化交接流程.
- 改善在内部操作人员更换期间的沟通和关键信息交换.
主要方法:
- 一个质量改进团队开发了一个审计工具,以评估现有的外科技术人员的移交.
- 利益相关者合作创建了一个基于审计结果的标准化沟通检查清单 (简称SHRIMPS).
- 该检查清单经过试点,并在多个手术服务线上实施.
主要成果:
- 泌尿病学,整体外科和神经外科的初始试点显示100%的交付包含,平均为76秒,处理了99.6%的元素.
- 在所有服务线上全面实施保持了100%的交付包含,平均为69.4秒,处理了98.2%的元素.
- 与基线平均值34.4%相比,标准化流程显著提高了关键交付元素的完成率.
结论:
- 标准化外科技术人员交接在手术内人员更换期间大大改善了关键沟通.
- 鱼检查清单提供了一个结构化的方法,以确保在极端地区进行全面的信息交换.
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