91精品国产手机在线-白筒袜嫩萝双腿之间乳白液体-青青操手机在线视频观看-日本中文字幕人妻日韩-日韩精品在线观看视频网站-天堂资源中文最新版在线一区-欧美专区一区二区三区-国产综合亚洲欧美在线-国产精品久久久久久福利69堂

  1. 首頁 > 健康養(yǎng)生 >

SCI解讀｜醫(yī)療應(yīng)急小組使用表在改進(jìn)臨床交接記錄中的應(yīng)用



點擊上方“藍(lán)字” ， 發(fā)現(xiàn)更多精彩 。

看多了文章也發(fā)現(xiàn) ， 不同期刊的格式差異蠻大的 ， 難怪很多地方都說投的時候要根據(jù)不同期刊要求 ， 修改文章格式 。

1

文章概況

Developing a Medical Emergency Team Running Sheet to Improve Clinical Handoff and Documentation



作者：Karen Mardegan, Melodie Heland, Tiffany Whitelock, Robert Millar

期刊：The Joint Commission Journal on Quality and Patient Safety Rapid，December 2013 Volume 39 Number 12 ， 570-57

2

摘要

Background: During medical emergency team (MET) and cardiac arrest calls, a scribe usually records events on a running sheet. There is more agreement on what data should be recorded in cardiac arrest calls than for MET calls. In addition, handoff (handover) from ward staff to the arriving MET may be variable.

背景：在醫(yī)療急救小組 (MET) 和心臟驟停呼叫期間 ， 工作人員通常會在記錄單上記錄事件 。 與 MET 呼叫相比 ， 在心臟驟停呼叫中應(yīng)記錄的信息更多 。 此外 ， 從病房工作人員到到達(dá)的MET的交接（handover）不盡相同 。

Methods: In a quality improvement project, a novel MET running sheet was developed to document events and therapies administered during MET calls. Key characteristics of the form were improved form layout, increased space for event documentation, and prompts to assist handoff to the arriving MET using the Identity, Situation, Background, Assessment, Request (ISBAR) format. Ward nurses commonly involved in MET activation were surveyed to assess their perceptions of the new MET running sheet. Files of 100 consecutive MET calls were reviewed to assess compliance.

方法：在一個質(zhì)量改進(jìn)項目中 ， 開發(fā)了一個新的 MET表來記錄 MET 調(diào)用期間管理的事件和治療 。 該表格的主要特點是改進(jìn)表格布局 ， 增加了事件文檔的空間 ， 并使用身份、情況、背景、評估、請求 (ISBAR) 格式提示協(xié)助移交給到達(dá)的MET 。 對通常參與MET的病房護(hù)士進(jìn)行調(diào)查 ， 以評估他們對新 MET 跑步表的看法 。 連續(xù)審查了100個MET 調(diào)用的文件以評估合規(guī)性 。

Results: Of 109 nurses invited to complete the survey, 103 did so (94.5% response rate). Overall, 87 (84.5%) of the 103 respondents agreed or strongly agreed that the new MET running sheet was better than the previous form for documenting MET management, and 58 (57.4%) of 101 respondents agreed or strongly agreed that it assisted handoff. The form was completed in 91 of a sample of 100 consecutive MET calls. Areas of less complete documentation included aspects of the ISBAR handover to the arriving MET and notification of the next of kin and usual clinicians at the completion of the call.

結(jié)果：在受邀完成調(diào)查的 109 名護(hù)士中 ， 有 103 名完成了調(diào)查（響應(yīng)率 94.5%） 。 總體而言 ， 103 名受訪者中有 87 人（84.5%）同意或強烈同意新的 MET 運行表比以前記錄 MET 管理的表格更好 ， 101 名受訪者中有 58 人（57.4%）同意或強烈同意它有助于移交 。 該表格是在 100 次連續(xù) MET 呼叫樣本中的91次中完成的 。 文件不完整的領(lǐng)域包括將 ISBAR 移交給到達(dá)的MET以及在通話結(jié)束時通知近親和普通臨床醫(yī)生的方面 。

Conclusion:The MET running sheet, tailored to the clinical events that occur during episodes of MET review, may assist handoff from ward nurses to the arriving MET and event documentation.

【SCI解讀｜醫(yī)療應(yīng)急小組使用表在改進(jìn)臨床交接記錄中的應(yīng)用】結(jié)論：根據(jù)MET審查期間發(fā)生的臨床事件量身定制的 MET 運行表可能有助于從病房護(hù)士到達(dá)的MET和事件文件交接 。


SCI解讀｜醫(yī)療應(yīng)急小組使用表在改進(jìn)臨床交接記錄中的應(yīng)用
本文插圖




    推薦閱讀