揭露差距:以公平为重点的全面观察对应急部门的解雇
Lynn G Jiang1, Maree Sats1, Sowmya Sanapala1
1Department of Emergency Medicine, Weill Cornell Medical Center, NewYork-Presbyterian Hospital, New York, New York, United States of America.
紧急部门 (ED) 的出院说明往往缺乏关键信息和患者的理解. 改善沟通和使用首选语言对于更好的患者坚持和结果至关重要.
科学领域:
- 紧急医疗
- 患者沟通
- 改善医疗保健的质量
背景情况:
- 紧急部门 (ED) 的出院说明往往不完整, 患者对其理解不佳.
- 这种缺乏理解可能导致患者出现不良事件并减少对护理计划的遵守.
研究的目的:
- 综合评估当前成年人ED排放的做法.
- 将观察到的做法与从国家指南中获得的概念性复合黄金标准进行比较.
主要方法:
- 一项前性观察研究在两个大型学术城市ED中进行.
- 研究助理观察了医生与患者之间的互动,记录了出院讨论.
- 将口头和记录的排放内容与黄金标准的检查清单进行比较.
主要成果:
- 虽然大多数口头沟通包括诊断和药物,但只有54%涉及返回的预防措施.
- 81%的非英语语言患者更喜欢以非他们喜欢的语言接受指导.
- 只有53%的退院患者的理解能力得到评估,问题机会有限.
结论:
- 在口头和记录的ED释放指令之间存在重大内容差距.
- 评估患者的理解程度,并以他们喜欢的语言提供指令是未来过程改进的关键领域.
- 两种方式的排放过程包括口头和书面沟通是务实有价值的.
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