在第四级新生儿重症监护室 (NICU) 实施多学科模拟代码 (MMC):挑战和参与者的反
Talulah Mitchem1, Erwin Cabacungan, Ruby Gupta
1Author Affiliations: Department of Pediatrics, Medical College of Wisconsin, Milwaukee, Wisconsin (Ms Mitchem, Dr Cabacungan, Dr Gupta, Dr Welak, Dr Rholl, Dr Sprecher, Dr Berlin, and Dr Acharya); and Children's Wisconsin, Milwaukee, Wisconsin (Ms Schuster).
概括
新生儿重症监护室 (NICU) 的多学科模拟代码 (MMC) 提高了工作人员对真实紧急情况的舒适性. 大多数提供者希望参与,特别是护士,加强对关键事件的准备.
科学领域:
- 医疗模拟 医疗模拟
- 新生儿重症监护中心
- 医疗保健教育 医疗保健教育
背景情况:
- 新生儿重症监护室 (NICU) 的培训通常发生在孤岛中,根据角色分隔提供者.
- 这限制了对关键事件的协作准备.
研究的目的:
- 在不断增长的NICU中实施多学科模拟代码 (MMCs).
- 为了提高NICU工作人员的舒适性和为真正的紧急情况做好准备.
主要方法:
- 在两年内 (2022-2024) 实施MMC计划.
- 实施后对NICU提供商 (n=164) 的横截面调查.
- 分析供应商的舒适度和对未来市场货币中心的兴趣.
主要成果:
- 60个MMC在IV级NICU中进行.
- 65%的MMC参与者认为他们对真正的代码做好了更好的准备.
- 参与MMC的护士报告了更高的舒适度 (P = .038).
- 84%的非参与者对未来的MMC表示兴趣.
结论:
- 在NICU环境中,定期的MMC是可行的,也是可取的.
- MMCs通过真正的紧急代码提高了提供者的舒适性,特别是对护士来说.
- 需要进一步的研究来评估MMC对实际代码性能的影响.
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