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实施结构化的患者交接对儿科住院计划中沟通的影响
Oscar Gómez Lund1, Facundo Jorro Barón2, Cristian García Roig3
1Pediatrics Department, Hospital Público Materno Infantil de Salta S. E., Salta, Argentina.
Archivos argentinos de pediatria
|November 11, 2025
概括
实施结构化的I-PASS交付系统显著减少了儿科住院医生之间患者信息传输期间的数据遗漏和中断. 这种结构化的方法改善了患者严重程度和整体交付质量的沟通.
科学领域:
- 医学教育 医学教育
- 患者安全 患者安全
- 医疗保健的沟通 医疗保健的沟通
背景情况:
- 医疗保健专业人员之间的患者信息传输容易出现错误和遗漏.
- 轮班交换期间有效的沟通对于患者的安全至关重要.
研究的目的:
- 评估实施结构化交付协议 (I-PASS) 对患者信息传输期间数据遗漏的影响.
- 评估患者干预后严重程度和分心的沟通变化.
主要方法:
- 在阿根廷萨尔塔的一家公立医院进行的准实验性,前后研究.
- 干预涉及培训儿科住院医生I-PASS结构化交付,团队合作和数字化交付.
- 直接观察被用来评估干预前和干预后的交付质量.
主要成果:
- 干预后观察到关键交付数据的显著改善.
- 在交付期间的干扰从40.8%降至24.1% (p = 0.001).
- 患者严重程度的传播从36.8%增加到63.2% (p = 0.001).
结论:
- 该I-PASS计划有效地减少了敏感数据的遗漏和中断在儿科住院的移交.
- 结构化移交并没有增加患者信息传输的持续时间.
- 实施标准化交付协议可以提高患者的安全性和沟通效率.
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