从挑战到解决方案:医院间转移流程的定性主题分析
James D Harrison1, Luci K Leykum2,3, Amy Yu4
1Division of Hospital Medicine, Department of Medicine, University of California, San Francisco, 521 Parnassus Avenue, Box 0131, San Francisco, CA, 94143, USA. james.harrison@ucsf.edu.
Journal of general internal medicine
|December 19, 2025
概括
改善医院间转移 (IHTs) 需要让患者和家人参与,增加专家参与,并标准化沟通. 解决这些问题可以降低风险,并改善患者在医院之间移动的护理过渡.
科学领域:
- 医疗保健管理的管理
- 患者护理过渡 患者护理过渡
- 定性研究方法 定性研究方法
背景情况:
- 医院间转移 (IHT) 越来越常见,代表了高风险的护理过渡.
- 改善IHT,减少不良事件,限制不适当的转移是关键的优先事项.
研究的目的:
- 确定改善当前IHT实践的策略.
- 描述实施这些改进策略的障碍.
主要方法:
- 使用聚焦小组与多种利益相关者 (患者,护理人员,医生,领导者) 进行定性研究.
- 基于真实的临床场景的案例简介指导了半结构化的讨论.
- 用专题分析来分析收集的数据.
主要成果:
- 确定了四个关键问题:患者/家庭参与,专家参与,医院间沟通和能力管理.
- 改进策略包括持续的患者/家庭参与,增加专家投入,以及标准化的沟通/工作流.
- 焦点组包括来自美国各地的三级/四级和附属医院的39名参与者.
结论:
- 该研究为IHT过程中存在的差距提供了潜在的解决方案,并确定了实施障碍.
- 研究结果为医院领导人和临床医生提供了可操作的见解,以提高IHTs.
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