关键病的外科病人护理协议的交换和转换:简要的回顾
Brian Chin1, Philip Lee, Caitlin Tweedie
1Author Affiliations: University of Hawaii, John A. Burns School of Medicine, Honolulu, Hawaii (Mr Chin and Mr Lee); Department of Internal Medicine, Orlando Regional Medical Center, Orlando, Florida (Dr Tweedie); University of Central Florida College of Medicine, Orlando, Florida (Mr Kumar and Mr Yates); NOVA Southeastern University, Fort Lauderdale, Florida (Ms Mitha); NOVA Southeastern University, Kiran Patel College of Osteopathic Medicine, Fort Lauderdale, Florida (Ms Amin); Department of Surgery, Division of Trauma and Surgical Critical Care, Orlando Regional Medical Center, Orlando, Florida (Dr Elkbuli); and Department of Surgical Education, Orlando Regional Medical Center, Orlando, Florida (Dr Elkbuli).
标准化转移和护理过渡 (HToC) 协议改善了重症手术患者的治疗结果. 这些结构化方法减少了错误,提高了提供者的满意度,突出了它们在患者安全方面的重要性.
科学领域:
- 关键护理医学 关键护理医学
- 手术患者的管理管理.
- 改善医疗保健质量 改善医疗保健质量
背景情况:
- 有效的转移和护理过渡 (HToC) 对重症手术患者至关重要.
- 低于最佳的HToC可能会导致不良事件和降低患者安全.
研究的目的:
- 评估HToC在重症手术患者中的方案.
- 评估干预策略,提供者反,临床结果和有效HToC的障碍.
主要方法:
- 在五个数据库 (PubMed,Google Scholar,ProQuest,Embase,Cochrane) 进行了全面的文献搜索.
- 包括研究评估HToC协议在重症成人手术患者的研究.
- 审查了29篇文章,涵盖了3,920多份交付和746次提供者采访.
主要成果:
- 标准化检查清单和结构化工作流程是常见的干预措施.
- 这些策略减少了交付时间和信息遗漏.
- 提供者满意度和合规性增加;可预防的并发症 (例如,药物错误,压力) 减少.
- 障碍包括沟通不良,参与不一致和时间限制.
结论:
- 标准化的HToC协议有效地减少了重症手术患者的遗漏和并发症.
- 这些协议提高了提供者满意度和患者安全.
- 需要进一步研究HToC协议的可持续性和长期结果.
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