Gaus Sebastian, Schmidt Jeremy, Lüse Paul, Barthlen Winfried, Hamelmann Eckard, Vossschulte Hendrik
Pediatric Emergency Department, University Children Hospital Bielefeld (EvKB), 33617 Bielefeld, Germany.
Department of Pediatrics, University Children Hospital Bielefeld (EvKB), 33617 Bielefeld, Germany.
Children (Basel). 2022 Aug 9;9(8):1197. doi: 10.3390/children9081197.
(1) Introduction: Working in an emergency department requires fast and straightforward decisions. Therefore, decision guidance represents an essential tool for successful patient-centered care. Beyond the residents' own knowledge and experience, printed books have been the primary source of information in the past. The aim of this study was to discover which strategies current residents use the most and to identify alternative quick reference strategies in the digital age. (2) Materials and Methods: This study analyzed the responses of a short questionnaire directed at 41 residents in a single pediatric emergency department (32 pediatric and 9 pediatric surgery residents) over a period of one month. (3) Results: Thirty-three (80.5%) residents answered the entire questionnaire. Strikingly, responses indicated that printed books are still pivotal in guiding decision-making. In addition, the acquisition of information via computers or smartphones plays an increasing role. However, the opinion and council of the attending physician is still of great value to the residents and is not to be underestimated. Overall, most of the residents would prefer to have access to a specially designed smartphone application. (4) Conclusions: Certainty and validity are essential in decision-making in a pediatric emergency department. Although printed books and attending physicians are still considered as reliable sources of information, internet-based information plays an increasing role. In order to provide the best up-to-date and most recent information, a validated and consistently updated smartphone application could be a useful option.
(1) 引言：在急诊科工作需要快速且直接地做出决策。因此，决策指导是成功实施以患者为中心的护理的重要工具。除了住院医师自身的知识和经验外，过去印刷书籍一直是主要的信息来源。本研究的目的是发现当前住院医师最常使用的策略，并在数字时代确定其他快速参考策略。(2) 材料与方法：本研究分析了在一个月内针对某儿科急诊科的41名住院医师（32名儿科住院医师和9名小儿外科住院医师）进行的一份简短问卷的回复。(3) 结果：33名（80.5%）住院医师回答了完整问卷。引人注目的是，回复表明印刷书籍在指导决策方面仍然至关重要。此外，通过计算机或智能手机获取信息的作用越来越大。然而，主治医师的意见和建议对住院医师仍然具有很大价值，不容低估。总体而言，大多数住院医师希望能够使用专门设计的智能手机应用程序。(4) 结论：在儿科急诊科决策中，确定性和有效性至关重要。虽然印刷书籍和主治医师仍然被视为可靠的信息来源，但基于互联网的信息作用越来越大。为了提供最新和最及时的信息，经过验证且持续更新的智能手机应用程序可能是一个有用的选择。
