在内科住院连续性诊所的新实习生患者小组交接
Anna L Golob1, Ginger A Evans1, Whitney Harper2
1Division of General Internal Medicine, Department of Medicine, University of Washington, Seattle, USA.
Cureus
|November 20, 2024
概括
在住院转换期间为高风险患者实施温暖的移交,可以提高患者的满意度并减少不良事件. 这种结构化的方法确保了在毕业生和入住者之间移动的患者的更好的护理连续性.
科学领域:
- 医学教育 医学教育
- 患者护理过渡 患者护理过渡
- 卫生系统研究 卫生系统研究
背景情况:
- 年终住院转换影响的患者多于住院转换.
- 在居民连续性诊所面板过渡期间,温暖的交接不太常见.
研究的目的:
- 开发和实施一个全课程的课程,以提供温暖的交付.
- 改善在住院转换期间对高风险患者的护理连续性.
主要方法:
- 在九个诊所逐步实施温的传递课程.
- 毕业的住户确定了高风险患者和优化文档.
- 进行了结构化,面对面的热情交接活动.
- 居民调查评估了满意度和安全结果.
主要成果:
- 热交是可行的,在研究期间从43%增加到72%.
- 收到温暖交付的居民报告了更高的满意度 (aOR 2.7) 和偏好 (aOR 8.1).
- 收到温暖交付的居民报告了更少的近距离碰撞或不良事件.
结论:
- 对于高风险的连续性诊所患者来说,有结构的热交接是可行的.
- 这一过程提高了居民对面板转移的满意度.
- 温的交接可以减少在住院过渡期间感知到的不良患者护理事件.
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