简化沟通:退伍军人事务医院的一家通用医学病房的"居民拥挤"
Liat Litwin1, Brian McGarry1, Bryn McGhee2
1is Chief Resident in Quality and Safety, Oregon Health & Science University and Portland Veterans Administration, Portland, Oregon, USA.
Journal of graduate medical education
|August 16, 2024
概括
为医疗住院人员实施每周聚会,改善了沟通和运营知识. 这项干预措施通过解决系统问题和改进文档实践,增强了实习生参与度和患者护理.
科学领域:
- 医学教育 医学教育
- 医疗保健管理的管理
- 患者安全 患者安全
背景情况:
- 在新环境中为医疗学员提供有效的指导至关重要.
- 众所周知,拥挤可以增强沟通和安全.
- 以往没有研究过,在通用医疗病房的系统和变化中,使用Huddles来指导学员的方向.
研究的目的:
- 实施一个每周的住院患者聚会,涉及住院人员和医院领导.
- 加强对实习生传播有关卫生系统运行的信息.
主要方法:
- 为一般医疗病房的高级内科医生建立了一个每周20分钟的"居民聚会".
- 内容包括系统更新,流程提醒,反和实习生提出的安全问题.
- 通过调查评估学员反应,并评估药物调和记录率的变化.
主要成果:
- 聚集提供了有用的信息 (94%),改善了工作参与度 (73%),并提供了实践反 (90%).
- 实习生认为问题得到了认可并采取了行动 (86%).
- 入院药物调整完成率从干预后的32%大幅提高到73%.
结论:
- 医院领导和住院人员之间的每周聚会增强了沟通和运营知识.
- 这种干预措施使学员有能力改善患者护理结果.
- 聚会促进了学员在工作环境中更大的参与感.
更多相关视频
相关概念视频
SBAR I: Understanding the Concept
4.4K
Effective communication among healthcare professionals during hand-off reporting is essential to delivering safe and continuous patient care. Common professional interactions include reports to healthcare team members, hand-off, and transfer reports. Nurses routinely report information to other healthcare team members and also urgently contact healthcare providers to report changes in patient status.
Standardized methods of communication have been developed to ensure that information is...
Standardized methods of communication have been developed to ensure that information is...
4.4K
Documentation in Long-Term and Home Healthcare Setting
875
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities
875
Flow Sheet
1.5K
Flowsheets are valuable tools in nursing documentation. They enable healthcare professionals to efficiently record and monitor various patient assessments and measurements in a consolidated format.
Here's a closer look at the examples of flowsheets commonly used by nurses:
Graphic Sheet Documentation:
Here's a closer look at the examples of flowsheets commonly used by nurses:
Graphic Sheet Documentation:
1.5K
Barriers to Effective Communication II
3.6K
The barriers to effective communication also include cultural barriers, semantic barriers, gender barriers, and time constraints.
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
3.6K
Discharge Summary Forms
749
The discharge summary is crucial as it enables a smooth transition from a healthcare facility to a patient's home or another care setting. This critical document facilitates seamless continuity of care, ensuring patients receive the necessary support and attention.
Here's a detailed look at the key components and guidelines for preparing a discharge summary:
Here's a detailed look at the key components and guidelines for preparing a discharge summary:
749
Types of Reports I: Hands-off Report
893
A hand-off report, also known as a change-of-shift report, is a crucial nursing process that ensures the smooth transition of patient care responsibilities between nursing staff.
Following are the key components and categories of hand-off reports:
Purpose and Process:
Following are the key components and categories of hand-off reports:
Purpose and Process:
893


