灵活的忠实性:在11个ICU的实施过程中,调整ICU-PAUSE交换工具
Elissa Arnold1, Rachel Wile2, Ella Cornell2
1Division of Pulmonary and Critical Care Medicine, Department of Medicine, Washington University School of Medicine, St. Louis, MO.
像ICU-PAUSE这样的结构化交换工具通过减少重症监护室 (ICU) 到病房转移期间的通信故障来改善患者护理. 适应性是成功在多家医院实施的关键.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 患者的安全性 患者安全性
- 临床沟通 临床沟通
背景情况:
- 在从ICU到病房的患者移交过程中,沟通失败是常见的,对患者的结果有害.
- 结构化沟通工具可以增强这些过渡,但未得到充分利用.
研究的目的:
- 确定影响ICU-PAUSE移交计划感知成功的因素.
- 记录ICU-PAUSE工具的调整及其在多中心部署期间的实施.
主要方法:
- 一项定性研究涉及11个学术医学ICU的重症监护医生.
- 采访的专题分析,工具修改的工件分析和转移笔记的图表审查被使用.
主要成果:
- 大多数预期的实施障碍都被克服了或成为了促进者.
- 73%的网站调整了ICU-PAUSE电子模板或实施策略,通常通过添加内容.
- 实施一年后,该工具被用于75%的分析的ICU-to-ward转移笔记.
结论:
- 该ICU-PAUSE干预措施有效地改善了ICU-to-ward交接通信,并减少了障碍.
- 干预措施的适应性对于在各种医疗保健环境中成功,可扩展的实施至关重要.
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