评估专业化和集中式在线医疗咨询系统对护理人员的影响:试点研究
Kevin Guo1, Michael Austin2,3, Benjamin De Mendonca4
1Department of Emergency Medicine, Ottawa Hospital, University of Ottawa, Civic Campus, 1053 Carling Avenue, Ottawa, ON, K1Y 4E9, Canada. kguo@toh.ca.
CJEM
|October 9, 2024
概括
一个新的在线医疗咨询计划并没有显著改变护理人员呼叫的持续时间或次要结果. 这个专门的计划旨在改善紧急医疗服务,但没有显示出统计学上显著的系统性能好处.
科学领域:
- 紧急医疗 紧急医疗
- 医疗保健服务研究 医疗服务研究
背景情况:
- 值班的急救部门 (ED) 医生面临的局限性是基础医院医生对护理人员的咨询.
- 为了解决这些局限性,开发了一个专门的,集中的在线医疗咨询 (OMC) 计划.
研究的目的:
- 检查 OMC 计划对护理人员电话咨询系统相关性能的影响.
- 评估 OMC 实施后的咨询呼叫持续时间和二次结果的变化.
主要方法:
- 进行了一项与并发对照的前后研究.
- 在OMC实施之前和之后的6个月内,对220个护理人员咨询电话的健康记录和音频记录进行了审查.
- 主要结果:护理人员咨询电话的持续时间. 二次结果:与医疗指令的矛盾,范围外的命令,需要澄清和医生中断.
主要成果:
- 平均通话时间在太华 (4:28到4:05分钟) 和金斯顿 (4:50到4:13分钟) 没有显著下降.
- 在二次结果中没有观察到统计学上显著的差异,包括与指令相矛盾的或超出实践范围的订单.
- 在OMC计划中,免除了值班ED医生对在线咨询的责任.
结论:
- OMC 计划并没有导致护理人员通话总持续时间的显著差异.
- 二次结果的好处在统计学上并不显著,可能是由于基线发病率较低.
- 该研究强调,需要进一步评估紧急医疗服务中的专业咨询计划.
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