伟大的辩论 - - 轮班工作与一天一次工作:急诊手术中12小时与24小时的呼叫时间
Dana Meshkin1, Patrick McGillen2, Matthew J Martin2
1Department of Surgery, University of California Irvine, Orange, CA, USA.
The American surgeon
|May 28, 2025
概括
对急性护理手术的最佳轮班长度进行了辩论. 无论是12小时还是24小时的班次,在外科医生疲劳,患者安全和培训质量方面都有优缺点.
科学领域:
- 外科手术 手术手术
- 医学教育 医学教育
- 医疗保健管理的管理
背景情况:
- 在急性护理外科手术中,关于最优班次长度的辩论集中在平衡提供者福祉,患者结果和培训效率上.
- 关于12小时和24小时手术调用时间表的好处,存在相互矛盾的数据.
研究的目的:
- 在急性护理手术中分析12小时和24小时轮班模型的论点.
- 评估轮班长度对外科医生疲劳,绩效,患者安全和住院人员培训的影响.
主要方法:
- 审查现有的文献和支持12小时和24小时外科呼叫系统的论点.
- 考虑诸如护理连续性,移交频率和错误率等因素.
主要成果:
- 24小时班次与更好的护理连续性和增强的外科培训有关,对患者的结果没有负面影响.
- 12小时的班次与更好的专注,更少的错误和更高的患者安全性有关,而不会妨碍培训.
结论:
- 在12小时和24小时班次之间的选择需要仔细考虑具体的实践环境,呼叫频率和交换协议.
- 需要进一步分析,以确定训练员和主治外科医生的最有效的班次安排.
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