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远程重症监护病房合作伙伴加强循证实践:呼吸机撤机计划。

Tele-ICU partners enhance evidence-based practice: ventilator weaning initiative.

作者信息

Olff Carol, Clark-Wadkins Cynthia

机构信息

John Muir Critical Vision, Tele-ICU Center, Walnut Creek, CA 94597, USA.

出版信息

AACN Adv Crit Care. 2012 Jul-Sep;23(3):312-22. doi: 10.1097/NCI.0b013e31825dfec5.

Abstract

Evidence-based practice (EBP) has become more than just a trendy buzzword in health care; EBP validates care delivery methods and grants satisfaction to nurses in knowing the care they provide is based on valid, current information. Research-based enhancements are paramount to the advancement of nursing practice and prompt the implementation of creative methods to improve care. The advent of the tele-intensive care unit (ICU) introduces new members of the health care team to assist with implementation of EBP initiatives. This new partnership results in improved length of stay, mortality rates, and ventilator times for critical care patients. Current literature suggests that a clinician-driven, standardized ventilator management protocol is of significant benefit. Tele-ICU clinicians provide an interactive element to coordinate interdisciplinary team efforts. Enhanced communication, data evaluation, and timely intervention expedite the weaning process and reduce ventilator length of stay. Consistent collaboration between tele-ICU and bedside clinicians successfully improves patient outcomes through standardized adherence to best-practice initiatives.

摘要

循证实践(EBP)在医疗保健领域已不仅仅是一个时髦的流行语;EBP验证了护理提供方法,并让护士在知晓他们所提供的护理基于有效、最新信息时获得满足感。基于研究的改进对于护理实践的进步至关重要,并促使实施创新方法来改善护理。远程重症监护病房(ICU)的出现引入了医疗团队的新成员,以协助实施循证实践举措。这种新的合作关系改善了重症监护患者的住院时间、死亡率和使用呼吸机的时间。当前文献表明,临床医生驱动的标准化呼吸机管理方案具有显著益处。远程ICU临床医生提供了一个互动元素,以协调跨学科团队的努力。加强沟通、数据评估和及时干预可加快撤机过程并缩短呼吸机使用时长。远程ICU与床边临床医生之间持续的合作通过标准化遵循最佳实践举措成功改善了患者的治疗效果。

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