在外科手术期间使用的Handoff记忆技术:系统性审查
Sabina M Patel1, Sarah Fuller2, Meghan M Michael3
1From the Human Factors and Behavioral Neurobiology, Embry-Riddle Aeronautical University, Daytona Beach, Florida.
Anesthesia and analgesia
|November 26, 2024
概括
标准化外科手术期间的交接改善了患者的护理. 情况,背景,评估,建议 (SBAR) 记忆符号显示了一些过程改进,并经常被转换为检查清单,以提高患者安全.
科学领域:
- 医学教育 医学教育
- 患者安全 患者安全
- 医疗保健管理的管理
背景情况:
- 外科手术期间的交接对于患者护理至关重要,但也带来了挑战.
- 认证机构建议采用标准化,结构化的交付流程.
- 手动记忆器提供记忆辅助,结构,并促进共享的心理模型.
研究的目的:
- 确定使用记忆技术进行的术后移交干预研究.
- 评估与特定的记忆力学相关的过程和患者结果的改进.
- 为未来的干预和研究提出建议.
主要方法:
- 系统审查英语语言外科手续干预相关文献 (2010-2022年).
- 在多个数据库 (PubMed,Scopus,ERIC,EMBASE,Cochrane) 进行的搜索.
- 经过培训的审查员参与了所有搜索和提取阶段.
主要成果:
- 有37篇与23个独特的记忆器相关的文章符合纳入标准;大多数发表于2015年以后.
- 在59%的研究中使用了情况,背景,评估,建议 (SBAR) 变体,其中45%报告了显著的过程改进.
- 70%的记忆技术被扩展为清单/检查清单; 57%涉及跨学科团队; 41%的测量工具得到了验证.
结论:
- 对于特定的记忆技术的证据很弱,但SBAR变体在外科外科设置中显示了过程改进.
- 大多数研究将记忆器转换为列表/检查列表,突出显示了对结构化工具的趋势.
- 有效的移交干预措施需要对患者安全进行强有力的开发,实施和评估.
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