Carr Dana Deravin
Jacobi Medical Center, Bronx, NY 10461, USA.
Prof Case Manag. 2007 Mar-Apr;12(2):70-80; quiz 81-2. doi: 10.1097/01.PCAMA.0000265340.72817.b5.
In this new era of patient safety, the case manager, as an advocate and facilitator of care, has a pivotal role on the front line of healthcare delivery. Effective communication and collaboration between disciplines is key to the promotion of patient safety, and ultimately the avoidance of life-threatening medical errors. Across the healthcare continuum and within hospitals in particular, patients are routinely transferred from one service to another, from one level of care to another, or from one provider to another. As patients are stabilized and transitioned through the hospital system, there are multiple hand-offs of care or care transitions that can often expose the patient to fragmented service and increase the risk of communication breakdown. Ineffective hand-offs can result in a disruption of continuity between one level of care and the next. In a culture that places a strong emphasis on patient safety, case managers can facilitate opportunities that ease care transitions whereby a change in venue is no longer perceived as a disruption in the flow of care but rather is viewed as a coordinated changeover where cautious and comprehensive communication sets the tone for the continued delivery of safe and effective healthcare.
在这个患者安全的新时代,病例管理员作为护理的倡导者和协调者,在医疗服务的前线起着关键作用。各学科之间有效的沟通与协作是促进患者安全、最终避免危及生命的医疗差错的关键。在整个医疗服务连续过程中,尤其是在医院内部,患者经常从一个科室转到另一个科室,从一种护理级别转到另一种护理级别,或者从一个医护人员转到另一个医护人员。随着患者在医院系统中病情稳定并转诊,会有多次护理交接或护理过渡,这往往会使患者面临服务碎片化的问题,并增加沟通中断的风险。无效的交接可能导致不同护理级别之间的连续性中断。在一个高度重视患者安全的文化环境中,病例管理员可以创造机会,使护理过渡更加顺畅,从而使护理地点的变更不再被视为护理流程的中断,而是被视为一次协调的交接,谨慎而全面的沟通为持续提供安全有效的医疗服务奠定基调。