在APP和居民经营的团队之间比较创伤手术结果
Allysen Shaughnessy1, Andrea Majewski, Morgan Henderson
1At MetroHealth Medical Center in Cleveland, OH, Allysen Shaughnessy is director of APP education and practices trauma surgery and emergency general surgery; Andrea Majewski practices trauma surgery and emergency general surgery; Morgan Henderson is associate director of the trauma/surgical critical care/emergency general surgery APP fellowship; and Alaina M. Lasinski is an attending surgeon and director of emergency general surgery. A. Shaughnessy and M. Henderson are adjunct faculty members at Case Western Reserve University in Cleveland, OH, and A.M. Lasinski is an assistant professor of surgery at Case Western Reserve University as well as a medical officer for the U.S. Department of Health and Human Services National Disaster Medical System. The authors have disclosed no potential conflicts of interest, financial or otherwise.
高级实践提供者 (APP) 越来越多地被用于创伤外科手术,以解决住院人员短缺的问题. 本审查评估了APP对创伤护理质量和结果的影响,与居民团队相比.
科学领域:
- 创伤外科 手术 创伤外科
- 外科手术的结果
- 医疗保健工作人员分析
背景情况:
- 研究生医学教育工作时间限制导致创伤外科手术的住户短缺.
- 高级实践提供者 (APP),包括医生助理 (PA) 和护士从业人员 (NPs),越来越多地融入创伤外科手术团队.
- 评估APP对创伤护理质量和系统性能的影响至关重要.
研究的目的:
- 审查和综合当前关于创伤外科手术服务结果的证据.
- 为了比较APP运营的创伤团队与居民运营的团队的临床结果和系统水平的表现.
主要方法:
- 对评估APP在创伤外科手术中的作用的研究进行文献综述.
- 对 APP 员工和住院人员创伤外科手术服务之间的结果进行比较分析.
主要成果:
- 关于APP对创伤护理的贡献的证据综合.
- 对护理质量,临床结果和系统性能进行比较的数据.
结论:
- APP集成影响创伤外科手术人员模型.
- 需要进一步的研究,以充分阐明APP与居民创伤外科手术团队的比较结果.
