在儿科交接中,ISBAR协议的有效性应急医疗住院人员的实施;干预前后研究
Negin Mousaeinejad1,2, Forugh Charmduzi3, Shaqayeq Khosravi4
1Emergency Medicine Management Research Center, Health Management Research Institute, Iran University of Medical Sciences, Tehran, Iran.
Archives of academic emergency medicine
|December 16, 2025
概括
实施ISBAR框架显著改善了急诊室的临床交付质量. 这种结构化的沟通工具提高了信息的准确性和完整性,提高了患者的安全性.
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
- 临床交流 临床沟通
背景情况:
- 医疗保健提供者之间有效的信息传输对于患者安全至关重要.
- 在急诊室的临床交接容易出现信息缺口.
研究的目的:
- 评估ISBAR (识别,情况,背景,评估,建议) 框架对儿科急诊室临床移交质量的影响.
主要方法:
- 一项前性,介入前和介入后的研究,涉及428个临床移交 (214个介入前,214个介入后).
- 实施90分钟的培训课程和标准化的ISBAR检查清单.
- 使用16项ISBAR检查清单评估交付质量;用描述性统计数据和曼·惠特尼U/Chi-square测试分析数据.
主要成果:
- 伊斯巴尔协议显著改善了整体交付质量 (平均等级从127.55增加到301.45,P<0.001).
- 所有五个ISBAR领域 (识别,情况,背景,评估,建议) 均显示出统计学上显著的改进 (大多数情况下P<0.001).
- 患者诊断和生命体征等关键项目的完整性在干预后明显改善.
结论:
- 采用标准化的ISBAR交付协议可以提高儿科急诊室的准确性和完整性.
- ISBAR框架有效地减少了潜在的错误,并加强了临床过渡期间的患者安全.
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