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周末计划标准表格能否改善沟通并影响患者护理质量?

Do weekend plan standard forms improve communication and influence quality of patient care?

作者信息

Grainge C, Traer E, Fulton J

机构信息

Derriford Hospital, Derriford Road, Plymouth PL6 8DH, UK.

出版信息

Postgrad Med J. 2005 Aug;81(958):524-5. doi: 10.1136/pgmj.2004.030064.

Abstract

Weekends are critical times in an inpatient stay, when daily review of patients is not routine and the usual team of doctors responsible for a patient's care is often not available. Communication between the patient's own doctors and the on call team is vital for continuity of care and to maintain patient safety. The provision and completeness of weekend plans was assessed before and after the introduction of a standard form. The introduction of the form led to a significant improvement in the proportion of notes containing a weekend plan and the proportion of notes containing a resuscitation decision (p<0.05), which will have a significant impact on patient care.

摘要

周末是住院期间的关键时期,此时对患者的日常检查并非常规操作,负责患者护理的常规医生团队通常也无法到位。患者自身的医生与值班团队之间的沟通对于护理的连续性和维持患者安全至关重要。在引入标准表格前后,对周末计划的提供情况和完整性进行了评估。该表格的引入使包含周末计划的记录比例和包含复苏决策的记录比例有了显著提高(p<0.05),这将对患者护理产生重大影响。

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