充分利用诊断时限来促进专业间的沟通
James Bowen1, Brenda Demeritt2, Anna J Ipsaro1,3
1Division of Hospital Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
Diagnosis (Berlin, Germany)
|July 7, 2025
概括
一个由护士驱动的诊断时限 (DTO) 框架改善了儿科病房的沟通和诊断准确性. 这种重新评估诊断的结构化方法是可行的,并且得到了护理人员的好评.
科学领域:
- 患者安全 患者安全
- 改善医疗保健质量 改善医疗保健质量
- 护理实践 护理实践
背景情况:
- 诊断错误有助于严重伤害患者.
- 认知偏见和沟通问题往往是诊断错误的基础.
- 诊断时限 (DTOs) 作为诊断重新评估工具不一致地实施.
研究的目的:
- 评估一个由护士驱动的DTO框架.
- 为了加强专业间的沟通.
- 为了提高儿科医院的诊断准确度.
主要方法:
- 一个DTO框架被开发和试点在一个儿科急性护理单位.
- 护士们接受了关于DTO的教育,并使用了标准化的提示.
- 通过调查和定性反来评估可行性和可接受性.
主要成果:
- 在六个月内发生了13起由护士发起的DTO.
- 几乎一半的DTO要求进行额外的检查,两人导致护理升级.
- 定性反表明,沟通,心理安全和团队工作得到了改善.
结论:
- 护士驱动的DTO框架的试点实施是可行的,受到好评.
- 该框架支持结构化诊断重新评估.
- 未来的工作将集中在更广泛的实施和对心理安全的影响上.
相关概念视频
Barriers to Effective Communication II
3.8K
The barriers to effective communication also include cultural barriers, semantic barriers, gender barriers, and time constraints.
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
3.8K
Techniques of Therapeutic Communication II: Focusing, Paraphrasing, and Summarizing
9.1K
Focusing involves centering a conversation on a message's critical elements or concepts. Focusing is valuable if the talk is vague or patients begin to repeat themselves. Sometimes, when patients are asked about their symptoms, they may go off-topic and try to tell their entire life story. Respectfully, the nurse should bring the conversation back into focus.
This therapeutic technique can also be used when a patient brings up pertinent information during a health-related conversation. The...
This therapeutic technique can also be used when a patient brings up pertinent information during a health-related conversation. The...
9.1K
Ethical Dilemmas II
1.4K
Resolving an ethical dilemma in healthcare involves a systematic approach that considers every aspect of the issue, respecting both the patient's needs and values and the healthcare professional's ethical obligations. Here are potential steps to resolve an ethical dilemma:
1.4K
Documentation of Nursing Diagnosis
1.3K
The nurse documents nursing diagnoses and enters them into the patient record. The identified patient's nursing diagnosis is either written out with a plan of care or entered into the electronic health record.
In some settings, data-driven computerized decision support systems are in place, allowing for more accurate nursing diagnoses. The database within one of these systems includes diagnostic labels defining characteristics, activities, and indicators for nursing. A nurse enters...
In some settings, data-driven computerized decision support systems are in place, allowing for more accurate nursing diagnoses. The database within one of these systems includes diagnostic labels defining characteristics, activities, and indicators for nursing. A nurse enters...
1.3K
Techniques of therapeutic communication I: Active Listening, Sharing Observations, Validation, and Using Touch
5.5K
The history of therapeutic communication can be traced back to Florence Nightingale, who emphasized the importance of developing trusting relationships with patients. She taught that the presence of nurses with patients results in therapeutic healing.
Therapeutic communication is not the same as social interaction. Social interaction has no goal or purpose and consists of casual information sharing, whereas therapeutic communication has a plan or purpose for the conversation. Therapeutic...
Therapeutic communication is not the same as social interaction. Social interaction has no goal or purpose and consists of casual information sharing, whereas therapeutic communication has a plan or purpose for the conversation. Therapeutic...
5.5K
Role of Communication in the Nursing Process I: Assessment and Diagnosis
4.5K
The nursing process uses scientific reasoning, problem-solving, and critical thinking to guide nurses in providing patients with appropriate care. This process is a systematic approach to recognize, avoid, and treat current or potential health issues while promoting the patient's well-being.
The nursing process considers the patient's emotional and physical well-being. The process can be repeated or stopped at any point if judged essential. Assessment is the first step in the nursing...
The nursing process considers the patient's emotional and physical well-being. The process can be repeated or stopped at any point if judged essential. Assessment is the first step in the nursing...
4.5K


