临床判断项目开发用于紧急医疗服务的临床医生
Paul Rosenberger1, Kenneth W Navarro1, Christopher B Gage1,2,3
1National Registry of Emergency Medical Technicians, Columbus, Ohio.
Prehospital emergency care
|September 27, 2024
概括
一个新的模板标准化了紧急医疗服务 (EMS) 教育中的临床判断评估. 该工具有助于制定对医院前护理提供者的一致评估,提高整体护理质量.
科学领域:
- 医学教育 医学教育
- 紧急医疗服务 (EMS)
- 临床判断评估 临床判断评估
背景情况:
- 临床判断对于医疗保健提供者来说至关重要,但在紧急医疗服务 (EMS) 教育中缺乏明确的评估方法.
- 现有的临床判断的定义含糊不清,阻碍了在初始和持续的EMS培训中进行一致的评估.
- 最近的理论框架为在医院前护理的动态背景下对临床判断提供了清晰度.
研究的目的:
- 提出一个模板,用于在EMS教育中开发临床判断评估项目.
- 利用临床判断的新理论框架来标准化评估方法.
- 促进可重复和透明的项目生成,用于评估EMS提供者的认知技能.
主要方法:
- 开发了一个项目开发模板,来自EMS临床医生,教育工作者和护理学科专家的投入.
- 该模板包含了临床判断的六个核心认知步骤:识别线索,分析线索,形成假设,生成解决方案,采取行动和评估结果.
- 专家的合作确保了模板与临床判断项目开发的相关性.
主要成果:
- 为生成临床判断评估项目提供了一个透明和可重复的模板.
- 该模板评估了EMS实践中必不可少的六个基本认知推理步骤.
- 使用低血糖患者病例的实践示例展示了模板在不同医院前护理阶段 (路线,现场,后场景) 的应用.
结论:
- 开发的模板允许在EMS中创建用于临床判断的标准化评估项目.
- 可以为EMS事件的每个阶段生成项目,允许串行和灵活的应用.
- 该工具支持在各种临床场景中对医院前护理提供者的一致评估.
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