加利福尼亚州的新生儿转运：一项定性调查的结果。
Neonatal transport in California: findings from a qualitative investigation.
机构信息
Division of Neonatal and Developmental Medicine, Department of Pediatrics, Stanford University School of Medicine and Lucile Salter Packard Children's Hospital Stanford, Palo Alto, CA, USA.
California Perinatal Transport System, Stanford University School of Medicine and Lucile Salter Packard Children's Hospital Stanford, Palo Alto, CA, USA.
出版信息
J Perinatol. 2020 Mar;40(3):394-403. doi: 10.1038/s41372-019-0409-7. Epub 2019 Jul 3.
OBJECTIVE
To identify characteristics of neonatal transport in California and which factors influence team performance.
STUDY DESIGN
We led focus group discussions with 19 transport teams operating in California, interviewing 158 neonatal transport team members. Transcripts were analyzed using a thematic analysis approach.
RESULT
The composition of transport teams varied widely. There was strong thematic resonance to suggest that the nature of emergent neonatal transports is unpredictable and poses several significant challenges including staffing, ambulance availability, and administrative support. Teams reported dealing with this unpredictability by engaging in teamwork, gathering experience with staff at referral hospitals, planning for a wide variety of circumstances, specialized training, debriefing after events, and implementing quality improvement strategies.
CONCLUSION
Our findings suggest potential opportunities for improvement in neonatal transport. Future research can explore the cost and benefits of strategies such as dedicated transport services, transfer centers, and telemedicine.
目的
确定加利福尼亚州新生儿转运的特点，以及哪些因素影响团队的表现。
研究设计
我们对在加利福尼亚州运营的 19 个转运团队进行了焦点小组讨论，采访了 158 名新生儿转运团队成员。使用主题分析方法对转录本进行了分析。
结果
转运团队的组成差异很大。有强烈的主题共鸣表明，紧急新生儿转运的性质是不可预测的，并带来了一些重大挑战，包括人员配备、救护车的可用性和行政支持。团队报告说，通过团队合作、在转诊医院与工作人员积累经验、为各种情况做好计划、进行专门培训、在事件后进行汇报以及实施质量改进策略来应对这种不可预测性。
结论
我们的研究结果表明新生儿转运存在潜在的改进机会。未来的研究可以探索专门的转运服务、转院中心和远程医疗等策略的成本和效益。
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