Department of Surgery, Division of Trauma and Acute Care Surgery, University of North Carolina School of Medicine, Chapel Hill, NC.
Institute for Healthcare Quality and Improvement, University of North Carolina Health Care, Chapel Hill, NC.
Am J Med Qual. 2022;37(5):413-421. doi: 10.1097/JMQ.0000000000000057. Epub 2022 Apr 8.
Hospital rapid response systems are designed to reduce unmet patient needs and prevent clinical deterioration. Rapid response teams are the principal component of a rapid response system and require teamwork to function optimally; poor communication among team members can result in substandard patient care. The authors describe a process for developing and implementing standardized communication and a teamwork structure for rapid response events (RREs) at a large academic hospital. The multidisciplinary team developed a project charter and key driver diagram, developed a "communication bundle," used quality improvement methodology, monitored adherence to the changes, and reported these data to key stakeholders on a weekly basis. By project end, the team met the goal of having 70% or more of adult RREs include the use of the "communication bundle." The balancing measure demonstrated that the introduction of a formalized communication framework did not significantly increase the duration of RREs.
医院快速反应系统旨在减少未满足的患者需求并预防临床恶化。快速反应团队是快速反应系统的主要组成部分，需要团队合作才能发挥最佳效果；团队成员之间沟通不畅可能导致患者护理水平下降。作者描述了一种在大型学术医院开发和实施标准化沟通和团队合作结构的流程，用于快速反应事件（RRE）。多学科团队制定了项目章程和关键驱动因素图，开发了“沟通包”，使用了质量改进方法，监测了对变更的遵守情况，并每周向主要利益相关者报告这些数据。项目结束时，团队实现了 70%或更多的成人 RRE 使用“沟通包”的目标。平衡措施表明，引入正式的沟通框架不会显著增加 RRE 的持续时间。
