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内部参与紧急一般外科手术移交和对患者护理的影响
Niall Murnaghan1, Jessica M Ryan2, William P Duggan3
1RCSI University of Medicine and Health Sciences, School of Medicine, 123 St. Stephen's Green, Co. Dublin, Ireland.
在外科手术移交过程中,全职实习生参与改善了患者护理,使得对查询的响应更快. 减少实习生参与可能会延迟护理,并对患者的治疗结果产生负面影响.
科学领域:
- 医学教育 医学教育
- 患者安全 患者安全
- 手术护理 手术护理
背景情况:
- 手术移交对于患者安全至关重要.
- 初级医务人员在移交过程中的作用尚不清楚.
- 这项研究考察了内部参与紧急整体外科手术 (EGS) 的情况.
研究的目的:
- 评估内部参与EGS交付的程度.
- 确定内部参与对日常临床任务和患者护理的影响.
主要方法:
- 开放的,结构化的,不参与的早晨EGS交接会议的观察.
- 在接下来的日班期间观察实习生,以记录患者的护理查询.
- 分析内部参与和查询响应时间.
主要成果:
- 在6次观察到的交接会议中,只有2次会有完全的实习生参与.
- 完全参与交付的实习生立即 (96.6%) 响应查询,并且更经常地从记忆中 (50%) 响应.
- 一个病人的伤害是由于在交付过程中遗漏了过敏信息.
结论:
- 积极的实习生参与交付增强学习并改善查询响应.
- 在交付过程中内部人员的不完全参与可能导致护理延迟和患者不良事件.
- 加强实习生参与交接对于EGS的患者安全至关重要.
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