低接触方法使临床团队能够改善医疗应急通讯体验
Adele Marie Harrison1, Julia Porter2
1Medical and Academic Affairs, Vancouver Island Health Authority, Victoria, British Columbia, Canada adele@ravenshill.ca.
BMJ open quality
|August 22, 2025
概括
改善医疗团队的应急沟通对于优质的患者护理至关重要. 通过协作解决问题和高效活动, 一种新的质量改进方法提高了团队的效率13%.
科学领域:
- 医疗保健系统工程
- 质量改善科学
- 医学的团队动态
背景情况:
- 有效的团队运作对于高质量的患者护理至关重要.
- 在应急医疗覆盖期间改善跨学科沟通在大型医疗机构中面临挑战.
- 医疗保健系统面临人力资源的局限性和患者的高需求,影响了沟通.
研究的目的:
- 实施一种新的方法,让护理人员参与改善应急沟通文化.
- 通过系统方法和质量改进方法应对值班通讯挑战.
- 提高医疗机构的团队运作和患者护理质量.
主要方法:
- 确定影响跨学科通话体验的因素 (进行,接收,响应).
- 开发一系列非同步的行动,针对积极呼叫体验的关键驱动因素.
- 由跨学科团队共同设计和实施"良好的呼唤行动系列".
主要成果:
- 这个"好号召行动系列"由六个跨学科的团队共同创作.
- 参与时间为5个月.
- 一个修改后的团队效率得分显示在完成行动系列后有13%的改善.
结论:
- 系统思维有效地解决了医疗保健团队应急经验的复杂性.
- 临床团队可以通过最低限度的支持和没有正式的质量改进培训来提高功能和沟通技巧.
- 低接触,时间效率的质量改进活动可以成功解决以团队为基础的护理提供挑战.
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