专门的ECMO研究员对计划成果的早期影响
Elizabeth J Bashian1, Thomas F O'Shea1, Jordan R H Hoffman1
1Division of Cardiothoracic Surgery, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
一个新的外体膜氧化 (ECMO) 奖学金为外科住院医生证明是可行的,增加ECMO的使用和改善患者的结果. 该计划增强了学员的经验和跨学科的沟通,这表明了重要的教育和机构效益.
科学领域:
- 心血管外科心血管外科
- 外科教育的外科教育
- 关键护理医学 关键护理医学
背景情况:
- 外体膜氧化 (ECMO) 的使用量有所增长,但外科住院医生的结构化培训有限.
- 一个专门的ECMO/机械循环支持 (MCS) 奖学金为整体外科住院医生建立.
研究的目的:
- 评估专门ECMO/MCS奖学金的可行性和教育影响.
- 评估奖学金与机构ECMO成果的关联.
主要方法:
- 单个中心的回顾性审查,比较ECMO活动和奖学金之前和之后的成果.
- 通过程序日志和自我报告的舒适度来追踪研究员的临床参与.
- 多学科调查评估人们对工作流程,沟通和教育的看法.
主要成果:
- 年度ECMO运行增加了101%,ECMO总时间增加了59%.
- 成功的ECMO断奶改善了 (59%与41%相比),支持死亡率下降了 (22%与37%相比).
- 奖学员获得了独立的管能力,大多数利益相关者认为ECMO的护理和沟通得到了改善.
结论:
- 专门为外科住院生提供ECMO/MCS奖学金是可行的,并且与增加的程序量有关.
- 该奖学金增强了跨学科的沟通,并提供了强大的实习生经验.
- 早期的结果表明潜在的教育和机构效益,值得进一步评估.
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