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救护车预警过程和实践的变化:救护车临床医生的横截面调查
Joanne E Coster1, Fiona C Sampson2, Rachel O'Hara2
1The University of Sheffield, Sheffield Centre for Health and Related Research (SCHARR), Sheffield, UK j.e.coster@sheffield.ac.uk.
Emergency medicine journal : EMJ
|December 5, 2024
概括
在英格兰各地,救护车预警的做法有很大差异,导致严重病患者如何传达给急诊室的不一致. 需要标准化的指导和培训来改善这些重症监护过程.
科学领域:
- 紧急医疗 紧急医疗
- 在医院前的护理.
- 医疗保健系统 医疗保健系统
背景情况:
- 救护车临床医生使用预警电话通知急诊室 (ED) 危急病人.
- 现有的预警内容和程序指南在当地救护车服务中各不相同.
- 为了调查当前的救护车预警实践,进行了一项全国性调查.
研究的目的:
- 了解英格兰目前使用救护车预警的情况.
- 识别预警决策和沟通中的变化.
- 为标准化实践和指导提供建议.
主要方法:
- 一项匿名在线调查分发给英格兰的救护车临床医生 (2023年5月至7月).
- 参与预警决策的参与者是通过救护车信托和社交媒体招募的.
- 量化数据被描述性地分析;自由文本回复补充了发现.
主要成果:
- 来自10个英国救护车服务的1298个响应显示了在所有预警阶段的实践差异.
- 预警频率从7.1%多次转班到每月14.9%不等;32.8%使用控制室进行通信.
- 记忆技术的使用 (例如,ATMIST) 不同,有10.2%的人不使用固定的格式;地方指导是常见的,但20%的人忽视了国家指导方针.
结论:
- 救护车预警流程的显著变化为临床医生在时间关键护理中创造了不确定性.
- 建议加强指导和培训,以规范预警实践.
- 解决这些变异可以提高医院前到ED沟通的一致性和有效性.
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