开发方法来识别性和改善关于儿科初级保健诊断的沟通
Irit R Rasooly1,2, Trisha L Marshall3,4, Christina L Cifra5,6
1Clinical Futures: A Center of Emphasis within the CHOP Research Institute, Children's Hospital of Philadelphia, Philadelphia, PA, United States.
这项研究考察了儿科诊断旅程,强调了沟通交流.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 患者安全 患者安全
- 在医疗保健领域的沟通
背景情况:
- 在整个诊断过程中,有效的沟通至关重要.
- 儿科诊断旅程涉及医疗保健系统内的复杂相互作用.
- 患者和系统因素,包括种族,种族主义,语言和语言访问,影响诊断结果.
研究的目的:
- 描述儿科诊断过程,强调沟通在弹性方面的作用.
- 开发和测试以患者为中心的沟通干预措施,以提高门诊诊断安全.
- 评估在诊断过程中检测诊断错误的方法.
主要方法:
- 采用混合方法方法,由患者安全系统工程倡议 (SEIPS) 3.0和安全II框架提供信息.
- 描述协议,数据收集工具,分析方法和用于描述患者旅程的理论框架.
- 检查社会技术系统和适应医疗保健系统需求和能力.
主要成果:
- 该研究将描述描述患者旅程特征的协议和方法.
- 它将评估用于检测诊断错误的不同方法的有效性.
- 研究结果将强调沟通是适应性工作系统中诊断过程的核心.
结论:
- 了解儿科诊断过程需要注意沟通和系统因素.
- 结构化,以患者为中心的沟通干预有可能提高诊断安全性.
- 将诊断视为适应性系统中的沟通产物对于改善患者护理至关重要.
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