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烧伤患者转运的标准化:向以色列国家烧伤中心实施转运申请表。

Standardization of Burn Patients Transfer: Implementation of a Transfer Request Form to Israel's National Burn Center.

作者信息

Aviv Uri, Berl Ariel, Haik Josef, Tessone Ariel, Harats Moti

机构信息

Department of Plastic and Reconstructive Surgery, Sheba Medical Center, Tel Hashomer, Israel.

Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.

出版信息

Isr Med Assoc J. 2020 Nov;11(22):700-703.

Abstract

BACKGROUND

Burn injuries are an extreme form of traumatic injury and are a global health issue. The Israeli National Burn Unit at the Sheba Medical Center, a tertiary level 1 trauma center and hence the national referral center, treats burn patients admitted both directly and referred from other medical centers. The transfer and handover of patients is a critical step in patient care. In Israel, to date, there is no standardized and accepted transfer request form for burn patients from one medical facility to another.

OBJECTIVES

To construct a transfer request form to be used in all future burn patient referrals.

METHODS

After reviewing publicly available international transfer forms and comparing them to the admission checklist used at our unit, a structured transfer request form was constructed.

RESULTS

After a pilot study period, testing the form in various scenarios and adapting it, the first standardized transfer form for burn patients in Israel in both English and Hebrew was implemented beginning May 2020.

CONCLUSIONS

Implementation of a standardized transfer process will improve communication between healthcare professionals to help maintain a continuum of care. We believe that implementation of a burn transfer form in all future referrals can standardize and assure better care for burn patients, thus improving overall patient care.

摘要

背景

烧伤是创伤性损伤的一种极端形式,是一个全球性的健康问题。位于谢巴医疗中心的以色列国家烧伤科,作为三级一级创伤中心及国家转诊中心,负责治疗直接入院以及从其他医疗中心转诊而来的烧伤患者。患者的转运和交接是患者护理中的关键环节。在以色列,迄今为止,尚无用于烧伤患者从一个医疗机构转至另一个医疗机构的标准化且被认可的转运申请表。

目的

构建一份未来所有烧伤患者转诊时使用的转运申请表。

方法

在查阅公开可用的国际转运表并将其与我们科室使用的入院检查表进行比较后,构建了一份结构化的转运申请表。

结果

经过试点研究阶段,在各种场景下对该表进行测试并加以调整后,以色列首份英文和希伯来文双语的标准化烧伤患者转运表于2020年5月开始实施。

结论

实施标准化的转运流程将改善医护人员之间的沟通,有助于维持连续的护理。我们认为,在未来所有转诊中实施烧伤转运表可规范并确保为烧伤患者提供更好的护理,从而改善整体患者护理。

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