Topol Pnina, Porat Nurit, Zelker Revital, Ingber Arieh, Zlotogorski Abraham, Brezis Mayer
Dermatology Clinic, Hadassah University Medical Center, Jerusalem, Israel.
Dermatol Nurs. 2007 Jun;19(3):253-7.
A late or missed notification of pathology results could be disastrous for the patient as well as for the medical staff and the institution involved. In this article, the authors describe a systemic intervention implemented and led by nurses to enhance the safety and the efficiency of the notification process. The two-fold intervention includes patient and medical staff education along with developing and implementing a computerized alert system throughout the hospital by a multidisciplinary team. The measurable outcomes were the rate of patient notification and the percentage of physicians reading the pathologist's report through the computerized system. Theses two outcomes improved significantly after the intervention. This study demonstrates how nurses can play a major role in both patient and staff education and with performing organizational chance to strengthen patient safety.
病理结果通知延迟或遗漏对患者以及相关医护人员和机构可能是灾难性的。在本文中,作者描述了一项由护士实施和主导的系统性干预措施,以提高通知流程的安全性和效率。这项双重干预措施包括对患者和医护人员进行教育,以及由多学科团队在全院开发并实施一个计算机化警报系统。可衡量的结果是患者通知率以及通过计算机化系统阅读病理学家报告的医生百分比。干预后这两个结果都有显著改善。这项研究表明护士如何能在患者和员工教育以及进行组织变革以加强患者安全方面发挥主要作用。