术后护理过渡干预的系统审查:检查交换协议和检查清单的实施情况
Caoimhe C Duffy1, Gina Lepore1, Gary A Bass2
1From the Department of Anesthesiology & Critical Care, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania.
有效的外科手术期间的交接策略可以提高患者的安全性和护理质量. 涉及前线工作人员的特定场所方法是成功实施和患者护理过渡的积极临床结果的关键.
科学领域:
- 医疗保健的质量 医疗保健的质量
- 患者安全 患者安全
- 手术护理 手术护理
背景情况:
- 术后护理过渡期是高风险时期,容易出现通信故障和信息丢失.
- 有效的交接对于在患者护理过渡期间减轻风险至关重要.
- 评估移交协议的实施和临床结果对于提高患者安全和护理质量至关重要.
研究的目的:
- 识别和综合关于外科手术期间护理中移交策略的证据.
- 评估这些策略对实施成功和临床结果的影响.
- 确定有助于成功移交干预的因素.
主要方法:
- 在PubMed,EMBASE和CINAHL数据库中的系统文献搜索.
- 包括关于术前移交 (术前,术后,术后) 的观察性和描述性研究.
- 使用质量评分系统评估研究质量,并遵守PRISMA指南.
主要成果:
- 包括11项研究,评估实施和临床结果.
- 所有研究都报告了至少一个实施结果的改善,员工接受度是最一致的.
- 在11项研究中,有7项研究显示临床结果有显著改善,例如减少住院时间和通风持续时间.
结论:
- 结构化的预实施规划和特定地点的方法对于成功的移交干预措施至关重要.
- 定制策略,涉及一线工作人员,提高实施和临床结果.
- 有证据表明,当适应特定医疗保健环境时,各种方法可以有效.
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