提升信心和技能:一个基于紧急部门程序的多学科评估 团队轮换
Danielle Langan1, Shorok E Hassan1, Arsalan Shawl1
1Emergency Department, Northwell Health, Staten Island, USA.
Cureus
|February 10, 2025
概括
紧急医疗住院计划中的新程序团队轮换显著改善了居民的程序信心和部门间合作. 这个倡议加强了关键程序的实践培训,以改善整体紧急医疗教育.
科学领域:
- 医学教育 医学教育
- 紧急医疗 紧急医疗
- 手术手术手术手术手术手术手术手术手术手术
背景情况:
- 紧急医疗 (EM) 住院计划要求居民掌握侵入性手术.
- 斯坦顿岛大学医院 (SIUH) 实施了一个跨部门的程序团队,以增加高级EM居民的程序暴露.
研究的目的:
- 评估程序团队轮换的有效性.
- 评估EM居民在执行手术时的舒适度的提高.
- 收集EM护理人员和内科医生对课程对程序和沟通技能的影响的看法.
主要方法:
- 混合方法研究使用调查和采访.
- 研究了五种常见的手术:超声导向静脉输入,中线,中线,腰部穿刺和腹腔镜.
- 收集了来自EM住院人员,ED护理医生和IM住院人员的反.
主要成果:
- 医生们进行了242次手术,平均每轮 29.9次.
- 在轮换后,PGY-3 EM居民报告了中线,腰部穿刺和膜显著改善舒适度.
- 质量反强调"教育和程序暴露"是关键的好处,IM居民发现咨询安置"非常简单".
结论:
- 程序团队轮换增强了居民的信心和部门间的合作.
- 这一举措为高风险程序提供了宝贵的实践经验.
- 该计划有可能显著丰富新兴市场居民的培训.
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