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手术后交换:儿童医院医生和外科医生的看法和偏好
Stephen Overcash1,2, Joyce Koh1,2, Christopher Gayer3,4
1Divisions of Hospital Medicine.
Hospital pediatrics
|September 12, 2024
概括
通过将外科医生和医院医生之间的交换标准化,手术后的沟通错误可以减少. 一项调查确定了13个改善患者安全和降低成本的基本要素.
科学领域:
- 医疗保健的沟通 医疗保健的沟通
- 患者安全 患者安全
- 外科手术的结果
背景情况:
- 手术后的沟通错误会对患者造成伤害,增加医疗费用.
- 目前的术后转移到住院病房的标准缺乏.
- 有效的沟通对于无的患者护理过渡至关重要.
研究的目的:
- 为了比较儿科医院医生和外科医生的经验和偏好,关于术后移交内容和时间.
- 确定标准化术后交付流程的关键要素.
- 改善外科和医院医生团队之间的沟通.
主要方法:
- 对儿科医院医生和外科医生进行了一项横截面的多站点调查.
- 一个新的调查工具使用利克特尺度评估了37个交付元素的感知通信频率和基本性.
- 收集和分析了关于感知和首选交付时间的数据.
主要成果:
- 超过一半的医院医生和外科医生受访者认为13个交付元素是必不可少的.
- 外科医生比医院医生感知到的移交元素明显多 (P < .05).
- 医院医生更喜欢在麻醉后护理单位出院前进行交接,而外科医生更喜欢立即进行术后交接.
结论:
- 确定13个核心元素可以指导制定标准化术后移交检查清单.
- 标准化检查清单可以改善外科医生和医院医生之间的沟通.
- 未来的研究应该专注于检查清单验证和审计交付实践.
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