从重症监护转移期间的患者安全:制定和评估一个检查清单
Laura Pearson1, Andrew Finney1
1Keele University School of Nursing and Midwifery, Keele University, Stoke-on-Trent, England.
Nursing management (Harrow, London, England : 1994)
|August 27, 2024
概括
在重症监护室 (ICU) 实施患者转移清单可以减少安全事故. 加强事件报告和支持性的工作场所文化对于转移期间的患者安全至关重要.
科学领域:
- 关键护理医学 关键护理医学
- 患者安全 患者安全
- 提高质量 提高质量
背景情况:
- 危急病患者经常需要从重症监护室 (ICU) 转移到其他部门,例如成像.
- 这些转移带有固有的风险,包括患者病情恶化和因药物,设备和监测准备不足而导致的潜在事件.
- 在患者转移过程中,人为因素错误可能会严重损害ICU环境中的患者安全.
研究的目的:
- 开发和评估用于重症监护室 (ICU) 的患者转移检查清单.
- 减少与从ICU跨部门转移相关的患者安全事件的风险.
- 评估检查清单对患者转移期间人为因素错误的影响.
主要方法:
- 一个急性医院信任的ICU进行了质量改进项目.
- 根据重症监护协会的指导制定了一份患者转移检查清单.
- 检查清单的有效性通过追溯事件报告,员工合规性审计和用户调查来评估.
主要成果:
- 在ICU中使用患者转移检查清单与转移期间患者安全事件的减少有关.
- 经过审计,工作人员遵守了检查清单,并提供了关于其实际实施的数据.
- 一项用户调查表明,使用检查清单的潜在好处和挑战.
结论:
- 在ICU中实施患者转移检查清单是改善转移期间患者安全的有价值策略.
- 工作场所文化的转变可能是必要的,以充分增强检查清单的好处,特别是在事件报告方面.
- 检查清单是减轻患者转移相关风险的工具,但更广泛的文化变化也很重要.
相关概念视频
01:29SBAR 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
01:17Flow 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
01:31Discharge 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
01:23Assessment of Respiration
1.1K
The respiratory system's basic structures and primary functions lay the foundation for nurses' comprehensive respiratory assessments. This assessment includes subjective and objective data to gauge the patient's respiratory health.
Subjective Assessment: Nurses interview the patient to gather information directly during the subjective assessment. It includes questions about the individual's medical history, medications, and symptoms, focusing on past respiratory conditions like...
Subjective Assessment: Nurses interview the patient to gather information directly during the subjective assessment. It includes questions about the individual's medical history, medications, and symptoms, focusing on past respiratory conditions like...
1.1K
01:25Types 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
01:10Pre-Procedural Guidelines for Assessing Blood Pressure
527
Accurate blood pressure assessment is crucial for diagnosing and managing various health conditions. To ensure the reliability of these measurements, healthcare professionals must adhere to standardized pre-procedural guidelines. These guidelines enhance patient safety and improve the overall quality of healthcare. The following steps are essential for obtaining accurate and consistent blood pressure readings, from using the appropriate tools to ensuring effective communication with the...
527