关键实验室的沟通挑战导致南非资源有限的环境
Ameerah Davids1,2, Annalise E Zemlin1,2, Elsie C Kruger1,2
1Department of Pathology, Division of Chemical Pathology, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa.
African journal of laboratory medicine
|October 4, 2024
概括
临界实验室结果对于患者护理至关重要. 这项研究发现,许多关键结果在24小时内没有采取行动,这突显了南非需要更好的沟通策略.
科学领域:
- 医学实验室科学 医学实验室科学
- 临床病理学 临床病理学
- 医疗保健通讯 医疗保健通讯
背景情况:
- 临界实验室结果表明患者立即面临危险,需要立即治疗.
- 撒哈拉以南非洲缺乏关于临床医生使用关键结果和患者结果的研究.
- 资源有限的设置经常使用电话通信来获得关键的结果.
研究的目的:
- 确定临床医生承认关键实验室结果的平均时间.
- 评估具有关键实验室结果的患者的结果.
- 评估目前的沟通方法对南非关键结果的有效性.
主要方法:
- 在泰格伯格学术医院进行了一次追溯描述性审计.
- 从2021年10月到2022年3月收集的数据包括关键结果和临床医生确认时间.
- 通过对120名住院患者的关键结果进行文件审查,评估了患者的治疗结果.
主要成果:
- 在2451个关键结果中,68.6%在24小时内得到确认.
- 33.3%的经过审计的临界结果患者死亡.
- 在68.3%的病例中,关键结果的沟通没有改变临床管理.
结论:
- 临界实验室结果对于患者护理至关重要,但大约三分之一在24小时内没有得到利用.
- 需要让临床医生参与当前的实践,并改善关键结果的沟通.
- 增强的沟通策略至关重要,特别是在资源有限的环境中,以改善患者的治疗结果.
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