护士担心作为快速反应团队激活改善结果的触发因素:非关键单位的回顾性队列研究
Luana L S Gentil1, Milena S Nascimento2, Michele Jaures3
1Departamento de Clínica Médica-Cirúrgica, Hospital Israelita Albert Einstein, São Paulo, Brazil.
BMC nursing
|January 13, 2025
概括
护士的担忧,护士的直觉和临床推理,可以有效地触发快速反应小组 (RRT),并可能减少重症监护室 (ICU) 的入院. 这一发现强调了将主观评估纳入患者监测协议的重要性.
科学领域:
- 临床护理 临床护理
- 患者安全 患者安全
- 医疗保健管理的管理
背景情况:
- 在重症监护室以外的患者可能会经历突然恶化.
- 早期发现临床恶化对于预防不良事件至关重要.
- 护士担心,临床推理和直觉的混合,在患者衰退之前.
研究的目的:
- 评估护士担心是快速响应小组 (RRT) 激活的触发因素.
- 为了确定护士担心和重症监护室 (ICU) 入院之间的关联.
主要方法:
- 使用机构RRT数据的回顾性队列研究 (2021年1月至2022年12月).
- 包括通过RRT评估的非关键单位的18岁以上的患者.
- 通过生命体征,护士担忧或两者一起分析RRT激活;结果包括ICU转移,程序和药物.
主要成果:
- 1574人通过生命体征激活RRT,1263人通过护士关注,1797人通过两者.
- 与生命体征组 (50%) 相比,护士担心组的ICU转移率较低 (40%).
- 两组之间医疗程序没有显著差异.
结论:
- 护士的担忧是RRT激活的一个重要因素.
- 基于护士担忧的RRT激活可能与更好的结果相关,比如更少的ICU转移.
- 该研究的观察性质排除了确定因果关系的可能性.
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