通过组织政策变革赋予医疗助理权力:在团队式的门诊护理中报告正常实验室
Candice Halinski1, Mark A Talamini, Maureen T White
1Author Affiliations: Donald and Barbara Zucker School of Medicine, Hofstra School of Nursing, Northwell Health Physician Partners, Manhasset, New York (Halinski); Department of Surgery, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Great Neck, New York (Talamini); Margaret Crotty Rory Riggs, Clinical Chair in Nursing, Northwell Health, New Hyde Park, New York (White); and Cohen Children's Medical Center, Manhasset, New York (Karavolias).
扩大医疗助理 (MA) 的角色,以传达正常的实验室结果,提高护理团队的效率和患者沟通. 这一举措增强了工作流程,并优化了许可专业人员的使用,而不会影响安全.
科学领域:
- 医疗保健管理的管理
- 健行护理服务提供者
- 基于团队的护理团队
背景情况:
- 门诊护理环境面临着技术进步和患者复杂性增加的不断变化的挑战.
- 优化以团队为基础的护理模式和实践范围的利用对于卫生系统至关重要.
- 诺斯韦尔健康医生合作伙伴启动了一项政策,以扩大医疗助理 (MA) 的作用.
研究的目的:
- 描述一项政策层面的倡议,扩大医务助理 (MAs) 在向患者传达正常实验室结果方面的作用.
- 评估这种实践范围增强对护理提供效率和患者沟通的影响.
- 评估在门诊护理环境中整合MA的这一扩展任务的可行性和安全性.
主要方法:
- 采用了结构化,多阶段的方法,包括临床工作流程审查和利益相关者的参与.
- 评估了患者安全影响,以及与监管和合规标准的协调.
- 为了安全执行,开发了培训,文档协议和通信标准.
主要成果:
- 实施后观察到护理团队效率的提高和患者沟通工作流程的增强.
- 临床医生报告说,与管理正常测试结果相关的行政负担减少了.
- 医务助理被有效地纳入后续沟通,允许执照人员专注于更高急性需求. 没有报告任何不良事件.
结论:
- 扩大MA负责传达正常实验室结果的职责,加强了在门诊环境中以团队为基础的护理.
- 关键的成功因素包括利益相关者的共识,标准化的培训和明确的文档协议.
- 这个案例为卫生系统提供了一个可复制的模型,可以解决劳动力挑战,同时确保患者的安全和满意度.
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