在EMS-to-ED患者移交中进行口头和视觉信息交换:一项观察和态度研究
Ariel Braverman1, Amit Frenkel2, Dan Schwarzfuchs2
1Faculty of Health Sciences, Ben Gurion University of The Negev, Beer Sheva, Israel.
International emergency nursing
|December 16, 2025
概括
紧急医疗服务 (EMS) 到急诊室 (ED) 的患者交接在很大程度上依赖于简短的口头沟通,导致严重的信息差距,特别是对于基本生命支持 (BLS) 团队. 建议使用结构化的协议和数字工具来提高患者的安全性和护理连续性.
科学领域:
- 医疗保健管理的管理
- 患者安全 患者安全
- 紧急医疗 紧急医疗
背景情况:
- 在紧急医疗服务 (EMS) 到急诊室 (ED) 患者交接期间有效的信息交换对于患者安全和护理连续性至关重要.
- 目前的沟通模式和信息缺口在EMS到ED的移交中并未得到充分理解.
- 本研究探讨了需要对这些移交进行描述,以确定需要改进的领域.
研究的目的:
- 描述EMS到ED患者移交期间的口头和视觉信息交换模式.
- 为了比较EMS和ED工作人员对这些移交质量的看法.
- 确定影响患者护理的特定信息差距.
主要方法:
- 在一个三级医疗中心进行了一项双方法研究,观察了83个EMS到ED的移交 (35个高级生命支持[ALS],48个基本生命支持[BLS]).
- 数据收集包括直接观察,使用结构化检查列表来记录信息元素,持续时间和通信模式.
- 一项电子调查评估了103名参与者 (62名EMS,41名ED员工) 使用6分利克特尺度对交付质量的看法.
主要成果:
- 交换主要是口头 (97.6%) 和短暂的 (ALS中位数40岁,BLS中位数25岁).
- 观察到重要的信息差距,包括医院前治疗 (36.1%),过敏 (55.4%) 和人口统计数据 (61.4%).
- 与BLS团队相比,ALS团队提供了更完整的信息;ED工作人员更重视患者背景文件,并报告了与EMS工作人员相比,对收到的信息的信心更高.
结论:
- 由于依赖简短的口头沟通,EMS到ED的交接非常容易丢失信息.
- 关键的安全信息,如过敏和药物,经常被遗漏,BLS交付显示出更大的缺陷.
- 实施结构化交付协议,可能包含数字工具,可以提高信息完整性和护理的连续性.
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