"一切看起来都令人放心. ":在急救部门的出院过程中管理不确定性
Sheryl A Krause1, Linsey M Steege1, Kristen E Pecanac1
1School of Nursing, University of Wisconsin-Madison, Madison, USA.
Patient education and counseling
|October 9, 2025
概括
紧急诊所医生在出院期间向患者传达诊断的不确定性. 尽管存在不确定性,但它们提供了彻底工作和患者出院安全的证据,确保了问责制.
科学领域:
- 医疗保健通讯 医疗保健通讯
- 紧急医疗 紧急医疗
- 患者安全 患者安全
背景情况:
- 诊断不确定性在急诊室 (ED) 中很常见.
- 患者出院期间的有效沟通对于安全和信任至关重要.
研究的目的:
- 检查医疗保健提供者 (HCP) 在ED出院过程中如何向成年患者传达诊断不确定性.
- 了解医疗保健人员用来传达问责制和确保患者安全的方法.
主要方法:
- 使用对话分析进行定性研究.
- 音频录制了40名成年患者的出院谈话,以及他们与护士和医疗保健工作人员 (医生,医生助理,护士执业人员) 的互动.
主要成果:
- 医疗人员利用诊断测试结果,专家建议和临床评估来证明出院决定的合理性.
- 医疗保健工作人员确认患者的理解和与出院和后续计划保持一致.
- 医疗人员沟通工作的彻底性和排除危险状况.
结论:
- 应急医疗保健专家有效地传达他们的放电决定,即使在不确定性中.
- 卫生保健工作者通过向患者保证他们安全出院并进行门诊随访来证明责任.
- 检查患者可能有助于评估他们感知到的安全性,需要进一步调查.
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