护理人员基于模拟的气管支架教育实施之前和之后的气管支架术儿童的结果
Mary Ellen Fain1, Brittany A Truitt1, Caroline C Ivie1
1Department of Pediatrics, Division of Pediatric Pulmonology, Children's Healthcare of Atlanta, Emory University, Atlanta, Georgia, USA.
概括
使用基于模拟的培训 (SBT) 进行与气管切除相关紧急情况 (TRE) 的护理人员培训,显著降低了儿童的整体死亡率. 然而,SBT并没有影响急诊室的访问或因气管切除术相关原因的再入院.
科学领域:
- 儿科重症监护 儿科重症监护 儿科重症监护
- 医学教育 医学教育
- 患者安全 患者安全
背景情况:
- 气管切除术相关的紧急情况 (TRE),如阻塞和出血,是导致死亡和医院资源利用的主要原因.
- 基于高准确度模拟的培训 (SBT) 可以提高照顾者的准备,以管理TRE.
研究的目的:
- 评估护理人员完成SBT对急诊室 (ED) 访问,再入院和气管切除术儿童死亡率的影响.
主要方法:
- 一个回顾性研究是在一个单一的学术儿童医院进行的.
- 分析了2014年至2020年间接受气管切除术的儿童,并比较了完成SBT和未完成SBT的护理人员之间的结果.
- 随访时间为解雇后的一年,以评估ED访问,再录取和死亡率.
主要成果:
- 在158名符合条件的患者中,53%的护理人员完成了SBT.
- 与非SBT组 (17%) 相比,SBT组的整体死亡率明显较低 (2%) (P < .001).
- 两组之间没有观察到与气管切除术相关的死亡率,急救诊所访问或再入院的显著差异.
结论:
- 护理人员完成SBT与气管切除术的儿童整体死亡率显著降低有关.
- 不过,SBT并没有证明它对与气管切除术相关的急救诊所,再入院或死亡率有重大影响.
- 需要进一步的研究来确定SBT是否可以直接影响特定的气管切除术相关结果.
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