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使用结构化内容和电子护理交接班减少患者临床管理错误

Reducing Patient Clinical Management Errors Using Structured Content and Electronic Nursing Handover.

作者信息

Johnson Maree, Sanchez Paula, Zheng Catherine

机构信息

Centre for Applied Nursing Research, South Western Sydney Local Health District & University of Western Sydney, Liverpool, New South Wales, Australia (Affiliated with the Ingham Institute, Liverpool, New South Wales) (Dr Johnson and Ms Sanchez); and School of Computing and Engineering, University of Western Sydney, Parramatta, New South Wales, Australia (Ms Zheng). Dr Johnson is now with the Faculty of Health Sciences, Australian Catholic University, Sydney, New South Wales, Australia.

出版信息

J Nurs Care Qual. 2016 Jul-Sep;31(3):245-53. doi: 10.1097/NCQ.0000000000000167.

DOI:10.1097/NCQ.0000000000000167
PMID:26796972
Abstract

We examined whether an integrated nursing handover system-structured content and an electronic tool within the patient clinical information system with bedside delivery-would improve the quality of information delivered at nursing handover and reduce adverse patient outcomes. Using a pre/posttest evaluative design, improvements in the transfer of critical patient information and reductions in nursing clinical management incidents were demonstrated. No changes in falls or medication incident rates were identified.

摘要

我们研究了一种综合护理交接班系统(结构化内容)以及患者临床信息系统中具备床边交付功能的电子工具,是否能够提高护理交接班时传递信息的质量,并减少患者不良结局。采用前后测试评估设计,结果表明患者关键信息的传递得到了改善,护理临床管理事件有所减少。未发现跌倒或用药事件发生率有变化。

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