快速响应命令小组对居民和护士满意度的影响
Marcos Vinicius Fernandes Garcia1, Sarah Rikabi1, Eduard Krishtopaytis1
1Cleveland Clinic Foundation, Fairview Hospital, Cleveland, Ohio; and.
ATS scholar
|July 26, 2024
概括
用于快速响应 (RR) 系统的标准化订单面板 (OP) 提高了医疗住院人员对订单放置和纠正的满意度. 虽然护士满意度保持中立,但定性数据表明,在RR事件期间,护士的沟通和团队合作得到了增强.
科学领域:
- 提高质量 提高质量
- 医学教育 医学教育
- 患者安全 患者安全
背景情况:
- 医院在急性病情变化时使用快速反应系统 (RR).
- 由于时间限制和压力,医疗人员在高压力RR事件中面临决策挑战.
- 订单面板 (OPs) 可以帮助临床决策,潜在地提高患者的满意度和安全.
研究的目的:
- 为共同的RR场景开发和实施标准化的OP.
- 提高内科住院医生和护士对RR过程的满意度.
主要方法:
- 一个单一的第三级护理中心质量改善项目.
- 为10个常见的RR场景开发了OP.
- 通过实施前后调查和定性数据评估住院和护理满意度.
主要成果:
- 居民报告说,他们对订单的订单 (94%) 和操作后实施的纠正 (87%) 的满意度增加了.
- 护士满意度显示,在沟通,协作,效率或组织方面没有统计学上显著的变化.
- 定性数据表明,这对两组人群的沟通,效率和团队合作都有积极的影响.
结论:
- 针对RR事件的标准化OP增加了内部医学居民对订单管理的满意度.
- 在实施后,护士对RR流程的满意度保持中立.
- 定性反表明OP在快速响应期间积极影响了沟通,效率和团队合作.
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