通过床边报告进行COASTing:一种创新的方法,以确保护理的安全过渡
Kristi Webster1, Jeanne Hlebichuk, Lillian Jensen
1Author Affiliations: Advocate Health System-Chair-Midwest Nursing Practice Council, Clinical Nurse-Medical Respiratory Intensive Care Unit, Aurora St. Luke's Medical Center (Mrs Webster), Milwaukee, WI; Magnet Department, Aurora St. Luke's Medical Center (Dr Hlebichuk), Milwaukee, WI; Strategy and Innovation, Advocate Health (Mrs Jensen), Milwaukee, WI; and Patient Safety, Advocate Health (Dr Zastrow), Oak Brook, IL.
使用COAST (代码状态,氧气,接入,安全,管道/排水) 框架标准化的床边轮班报告改善了患者安全遵守和结果. 这种结构化的沟通增强了护士的问责制,并减少了安全事件.
科学领域:
- 护理实践 护理实践
- 患者安全 患者安全
- 基于证据的实践.
背景情况:
- 床边轮班报告提高了患者的满意度,问责制,沟通,并减少了安全事件.
- 临床报告的做法在大流行之前是不一致的,并且由于个人防护设备的限制和暴露风险而停止.
- 标准化通信协议对于有效的患者交接至关重要.
研究的目的:
- 通过结构化沟通工具来标准化床边班次报告.
- 通过加强交付程序来改善患者安全结果.
- 重新实施和维持疫情后的临床报告实践.
主要方法:
- 爱荷华州基于证据的实践模式指导了该项目.
- 审查了文献和安全数据,以确定关键的沟通主题.
- 简称COAST (代码状态,氧气,接入,安全,管道/排水) 是为标准化床边报告内容而开发的.
主要成果:
- 在试点和维持期间,遵守COAST元素的情况有所增加.
- 观察到安全结果的改善,包括心肺复苏手腕带的应用和跌倒.
- 超时工作时间的显著下降被记录在案.
结论:
- 标准化的床边报告专注于安全要素,提高了采用和患者安全.
- 在移交期间的结构化沟通有效地提高了临床实践.
- COAST框架为一致和安全的患者床边报告提供了一个可行的模型.
相关概念视频
SBAR I: Understanding the Concept
Standardized methods of communication have been developed to ensure that information is...
Types of Reports I: Hands-off Report
Following are the key components and categories of hand-off reports:
Purpose and Process:
Types of Reports III: Telephone and Verbal Reports
Here's an overview of each type:
Telephone Orders
Discharge Summary Forms
Here's a detailed look at the key components and guidelines for preparing a discharge summary:
Introduction to Documentation and Reporting
Nursing documentation records essential information and details regarding a patient's care and treatment in written or electronic form. It is a critical aspect of nursing practice that involves documenting assessments, interventions, outcomes, and other relevant details about a patient's health status.
Documentation maps the patient's health journey by creating a comprehensive...
SBAR II: Application of SBAR
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...


