检查验证的移交协议对多创伤患者治疗结果的影响:系统性审查
Eva Steinfeld1, Karolina Dahms2, Julia Dormann2
1Department of Intensive Care Medicine and Intermediate Care, Medical Faculty, RWTH Aachen University, Aachen, Germany. esteinfeld@ukaachen.de.
概括
经过验证的患者移交工具可以改善沟通,减少多创伤护理中的错误. 虽然RCT缺乏直接证据,但对现有研究的分析表明,标准化和定制化交付协议都有好处.
科学领域:
- 医疗保健的质量和安全
- 创伤护理 创伤护理
- 医疗信息学 医疗信息学
背景情况:
- 有效的患者移交对于患者安全和医疗保健的护理质量至关重要.
- 移交工具越来越多地用于改善患者过渡过程.
- 由于多创伤患者的复杂状况,他们需要无的护理过渡.
研究的目的:
- 为了确定是否验证的交付协议改善多创伤患者的治疗结果,而不是没有协议.
- 系统地审查关于多创伤护理中移交工具有效性的证据.
主要方法:
- 在PubMed,控制试验的Cochrane中央注册表和科学网上搜索到2022年6月15日.
- 旨在包括系统性审查和随机对照试验 (RCT).
- 包括26项最初被排除在外的研究,原因是缺乏合格的RCT和系统审查.
主要成果:
- 没有系统审查或RCT符合严格的资格标准.
- 对26项研究的分析确定了两个工具类别:标准化和定制化.
- 定制工具显示了信息质量,沟通和减少错误的改善.
- 标准化工具改善了沟通,文档和员工满意度,减少了错误和丢失的信息.
结论:
- 由于研究异质性和缺乏RCT,进行传统的系统审查存在挑战.
- 分析表明,标准化和定制化交付工具在医疗保健环境中都有好处.
- 需要使用标准化的方法进行进一步的研究,以确认定制设计工具的有效性并优化其实施.
相关概念视频
Types of Reports I: Hands-off Report
879
A hand-off report, also known as a change-of-shift report, is a crucial nursing process that ensures the smooth transition of patient care responsibilities between nursing staff.
Following are the key components and categories of hand-off reports:
Purpose and Process:
Following are the key components and categories of hand-off reports:
Purpose and Process:
879
SBAR I: Understanding the Concept
4.3K
Effective communication among healthcare professionals during hand-off reporting is essential to delivering safe and continuous patient care. Common professional interactions include reports to healthcare team members, hand-off, and transfer reports. Nurses routinely report information to other healthcare team members and also urgently contact healthcare providers to report changes in patient status.
Standardized methods of communication have been developed to ensure that information is...
Standardized methods of communication have been developed to ensure that information is...
4.3K
Flail Chest-II
157
Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
Assessment:
1. Clinical Evaluation:
History:
157


