实施紧急护理框架提高了临床转让的质量:一个阶梯集群随机对照试验
Kate Curtis1, Julie Considine2, Belinda Kennedy3
1Susan Wakil School of Nursing and Midwifery, Faculty of Medicine and Health, The University of Sydney, Camperdown, New South Wales, Australia; Emergency Services, Illawarra Shoalhaven Local Health District, Wollongong Hospital, Wollongong, New South Wales, Australia.
Australasian emergency care
|January 23, 2026
概括
HIRAID®紧急护理框架显著改善了护士之间的临床交接沟通. 这种结构化的方法通过确保在护理过渡期间更好地交换信息来提高患者安全.
科学领域:
- 紧急护理 紧急护理
- 患者安全 患者安全
- 临床交流 临床沟通
背景情况:
- 临床移交在急诊室经常发生,对患者安全至关重要.
- 不充分的交付与高达80%的不良事件有关.
- 标准化框架可以减轻与患者信息传输相关的风险.
研究的目的:
- 评估HIRAID®急诊护理框架对临床交付质量的影响.
- 评估护士与护士之间关于患者病史,身体评估和恶化的认可的沟通改进.
- 确定框架对信息在交付过程中的相关性和完整性的影响.
主要方法:
- 一个经过修改的步集群随机对照试验,涉及29个澳大利亚急诊部.
- 使用行为改变策略实施HIRAID®框架.
- 使用多重回归分析对来自护士和医务人员的调查数据进行定量分析,并补充了定性诱导性内容分析.
主要成果:
- 在患者病史 (p < 0.001) 和身体评估 (p < 0.001) 方面,护士对护士沟通满意度显著改善.
- 提高了临床恶化的识别 (p = 0.01),信息相关性 (p = 0.001) 和完整性 (p < 0.001).
- 定性数据证实了定量发现,支持了框架的有效性.
结论:
- 实施一个结构化的紧急护理框架,HIRAID®,明显改善了护士对护士的临床交接.
- 该框架通过提高沟通质量和信息准确性来支持更安全的患者护理.
- 标准化协议在优化紧急情况下的关键通信流程方面是有效的.
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