儿科重症监护病房入院前小组讨论对患者安全相关的跨专业交流认知的影响。

Caroline Perkowski was a pediatric intensive care unit fellow, Pediatric Critical Care Medicine, Department of Pediatrics, Penn State Health Children's Hospital, Hershey, Pennsylvania, at the time the study was conducted.

Barbara Eldridge is a critical care nurse in the pediatric intensive care unit, Department of Nursing, Penn State Health Children's Hospital.

Crit Care Nurse. 2022 Aug 1;42(4):55-67. doi: 10.4037/ccn2022307.

BACKGROUND

Preadmission discussions in the study institution's pediatric intensive care unit are not standardized and admission plans were thought to be disjointed, leading to a perceived lack of organization and preparation for the arrival of a critically ill child.

OBJECTIVE

To evaluate the impact of a new, formalized preadmission pediatric intensive care unit interdisciplinary huddle on clinician perceptions of interprofessional communication. The hypothesis was that preadmission huddles would improve unit clinicians' perceptions of interprofessional communication.

METHODS

Interprofessional pediatric intensive care unit clinicians (physicians, advanced practice providers, nurses, and respiratory therapists) completed surveys before and 7 months after preadmission interdisciplinary huddle implementation. Huddle compliance and perceptions of interprofessional communication in the unit were evaluated.

RESULTS

Of 265 eligible pediatric intensive care unit admissions, 69 huddles (26.0%) occurred. The postintervention survey revealed increased odds (odds ratio [95% CI]) of responding "strongly agree" or "agree" to questions about the opportunity to "communicate effectively with health care team members" (2.42 [1.10-5.34]), "respond to feedback from health care team members" (2.54 [1.23-5.24]), and "convey knowledge to other health care team members" (2.71 [1.31-5.61]) before an admission.

DISCUSSION

This study introduced a formalized huddle that improved pediatric intensive care unit clinicians' perceived communication with other health care team members in the preadmission period.

CONCLUSIONS

Future studies are needed to determine if this perceived improvement in communication significantly affects health care outcomes of critically ill children or if these results are generalizable to other pediatric intensive care unit settings.

背景

研究机构的儿科重症监护病房的入院前讨论没有标准化，入院计划被认为是不连贯的，导致人们认为对重病儿童的到来缺乏组织和准备。

目的

评估新的、规范化的儿科重症监护病房跨学科小组讨论对临床医生对专业间沟通的看法的影响。假设是入院前小组讨论将改善单位临床医生对专业间沟通的看法。

方法

跨专业儿科重症监护病房的临床医生（医生、高级实践提供者、护士和呼吸治疗师）在入院前跨学科小组讨论实施前和 7 个月后完成了调查。评估小组讨论的合规性和对单位内专业间沟通的看法。

结果

在 265 名符合条件的儿科重症监护病房入院患者中，有 69 次小组讨论（26.0%）。干预后调查显示，对“与医疗团队成员有效沟通”（2.42 [1.10-5.34]）、“对医疗团队成员的反馈做出回应”（2.54 [1.23-5.24]）和“向其他医疗团队成员传达知识”（2.71 [1.31-5.61]）的问题回答“强烈同意”或“同意”的可能性增加。