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神经诊断患者从重症监护病房到普通病房的过渡期。

Transitions of Care for Patients with Neurologic Diagnoses Transition from the Intensive Care Unit to the Floor.

机构信息

Implementation Science Core, The Helene Fuld Health Trust National Institute for EBP, College of Nursing, 760 Kinnear Road, Columbus, OH 43212, USA.

Neurocritical Care and Neurosurgery, The MetroHealth System, Case Western Reserve University, MetroHealth Medical Center, 2500 MetroHealth Drive, Attn: Nursing Business Office, Cleveland, OH 44109, USA.

出版信息

Nurs Clin North Am. 2019 Sep;54(3):347-355. doi: 10.1016/j.cnur.2019.04.005. Epub 2019 Jun 12.

Abstract

Transition of care from the intensive care unit to acute care units after critical neurologic injury includes the consideration of a variety of factors to ensure safe and effective care, and promote ongoing neurologic recovery. Assessment of effectiveness of deescalation techniques, agitation management, and risk factor mitigation are important strategies to enhance the success of transitions. Clear and consistent interdisciplinary communication between teams during hand-off between units is imperative to decrease the risk of complications and errors, and to streamline discharge processes.

摘要

从重症监护病房到急性护理病房的关键神经损伤后护理的过渡包括考虑各种因素,以确保安全有效的护理,并促进持续的神经恢复。评估降级技术、激惹管理和风险因素缓解的效果是增强过渡成功的重要策略。在单位之间交接时,团队之间进行清晰一致的跨学科沟通对于降低并发症和错误的风险以及简化出院流程至关重要。

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