实施I-PASS交换以改善提供商对提供商交换通信
Whitney Thornton1, Anne Derouin1, Melanie Thornton2
1Duke University School of Nursing, Durham, North Carolina.
Journal of the American Association of Nurse Practitioners
|October 27, 2025
概括
实施I-PASS工具改善了提供者沟通,并减少了胃肠病手术取消. 这种标准化交接增强了患者的安全性和护理连续性.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 患者安全 患者安全
- 医学沟通 医学沟通
背景情况:
- 有效的提供者交换对于患者安全和护理连续性至关重要.
- 该I-PASS (疾病严重程度,患者信息,行动清单,情境意识和应急计划和综合) 工具是一个基于证据的沟通资源.
- 胃肠病科的住院患者缺乏标准化的交接流程,导致信息缺口和程序延误.
研究的目的:
- 评估在住院胃肠道病房的执业护士 (NPs) 中实施I-PASS交付工具的有效性.
- 通过改善提供者沟通,减少胃肠道手术在同一天取消的次数.
主要方法:
- 一个质量改进项目使用了计划-做-研究-行动框架.
- 在繁忙的住院胃肠病学环境中,胃肠病学家和NP之间实施了I-PASS交换工具.
- 监测了采用率和程序取消数据.
主要成果:
- 超过60%的提供商完全采用了I-PASS交付工具.
- 一些经验丰富的供应商最初对新的标准化交付表现出了抵抗.
- 每月的胃肠道学程序取消显示在实施后的稳定下降.
结论:
- 标准化的供应商交接工具,如I-PASS,有效减少通信错误,提高医疗保健效率.
- I-PASS工具对住院胃肠道病学团队有好处.
- 应该考虑在其他照顾复杂患者或使用程序套件的团队中实施I-PASS.
相关概念视频
SBAR I: Understanding the Concept
5.8K
Effective communication among healthcare professionals during hand-off reporting is essential to delivering safe and continuous patient care. Common professional interactions include reports to healthcare team members, hand-off, and transfer reports. Nurses routinely report information to other healthcare team members and also urgently contact healthcare providers to report changes in patient status.
Standardized methods of communication have been developed to ensure that information is...
Standardized methods of communication have been developed to ensure that information is...
5.8K
Types of Reports I: Hands-off Report
1.5K
A hand-off report, also known as a change-of-shift report, is a crucial nursing process that ensures the smooth transition of patient care responsibilities between nursing staff.
Following are the key components and categories of hand-off reports:
Purpose and Process:
Following are the key components and categories of hand-off reports:
Purpose and Process:
1.5K
Integrated Healthcare System
2.3K
An integrated healthcare system (IHS) is a set of organizations that provides for or arranges to provide coordinated and continuous service to a defined population. The IHS takes responsibility for that particular population's health status and outcome, both clinically and fiscally. An integrated healthcare system is a well-organized, well-coordinated, and collaborative network. The integrated delivery system is a network that connects different healthcare providers to deliver organized,...
2.3K
Methods of Documentation III: PIE
2.0K
Problem-intervention-evaluation (PIE) is a systematic approach to documentation used in healthcare settings for clinical decision-making and patient care planning. It is a structured approach to organizing patient data based on problems, interventions, and evaluations. Here's a breakdown of its key features and considerations:
2.0K
Discharge Summary Forms
1.2K
The discharge summary is crucial as it enables a smooth transition from a healthcare facility to a patient's home or another care setting. This critical document facilitates seamless continuity of care, ensuring patients receive the necessary support and attention.
Here's a detailed look at the key components and guidelines for preparing a discharge summary:
Here's a detailed look at the key components and guidelines for preparing a discharge summary:
1.2K
Role of Communication in the Nursing Process II: Planning and Implementation
2.5K
Several factors are considered while creating a patient's care plan. Motivation is a factor in improving communication, and patients often require encouragement to try different approaches involving significant change. It is essential to involve the patient and family in decisions about the plan of care to determine whether the suggested methods are acceptable. Consider meeting critical comfort and safety needs before introducing new communication methods and techniques. Allow adequate time...
2.5K


