确定转班交接中的重要因素:ED过渡的ABC-VITAL模型
Albert J Peñaloza1,2, Jovanny Garcés1, Claudia Salazar3
1Emergency Medicine, Universidad Cooperativa de Colombia, Medellín, COL.
Cureus
|December 17, 2025
概括
该ABC-VITAL模型通过专注于协助,平衡和关闭来增强急救部门 (ED) 的班次交接. 这种结构化的方法提高了患者安全,护理连续性和重症监护机构工作人员的福祉.
科学领域:
- 紧急医疗 紧急医疗
- 医疗保健管理的管理
- 组织心理学 组织心理学
背景情况:
- 在急诊室 (ED) 中,班次交接是影响患者安全,护理连续性和员工福祉的关键过程.
- 现有的移交协议可能无法充分解决这一事件的多面性质.
- 需要一个全面的模型来优化ED轮班变更沟通和操作.
研究的目的:
- 介绍和描述ABC-VITAL模型,用于紧急部门的班次交换.
- 提供一个结构化的框架,整合了临床,人力和战略元素的移交.
- 为各种ED设置和复杂性提供一个可适应的模型.
主要方法:
- 从医疗管理,紧急医疗和学术领导力的融合中开发了ABC-VITAL模型.
- 围绕三个核心组成部分构建模型:协助,平衡和结束.
- 在协助组件中整合ID-VITAL框架用于结构化临床通信.
主要成果:
- 该ABC-VITAL模型提供了一个系统的方法,转移移.
- 辅助组件确保了结构化,决策导向的临床沟通.
- 平衡组件涉及人际关系动态和心理安全.
- 关闭组件增强了业务规划和团队同步.
结论:
- 该ABC-VITAL模型将转移移交作为一个临床,人类和战略过程.
- 实施有潜力显著影响EDs的组织文化.
- 这个模型提供了一个强大的框架,可以提高ED的运营效率和患者护理结果.
相关概念视频
SBAR I: Understanding the Concept
5.7K
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...
5.7K
Types of Reports I: Hands-off Report
1.4K
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:
1.4K
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
SBAR II: Application of SBAR
5.6K
SBAR is an effective communication tool used by healthcare professionals to communicate patient information accurately. SBAR stands for Situation, Background, Assessment, and Recommendation. For a better understanding, an example is given below.
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
5.6K
Methods of Documentation VI: Case Management Model
837
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
837
Flow Sheet
2.5K
Flowsheets are valuable tools in nursing documentation. They enable healthcare professionals to efficiently record and monitor various patient assessments and measurements in a consolidated format.
Here's a closer look at the examples of flowsheets commonly used by nurses:
Graphic Sheet Documentation:
Here's a closer look at the examples of flowsheets commonly used by nurses:
Graphic Sheet Documentation:
2.5K


