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实景模拟:一种在新冠疫情后恢复重症监护病房患者安全的策略?系统评价

In Situ Simulation: A Strategy to Restore Patient Safety in Intensive Care Units after the COVID-19 Pandemic? Systematic Review.

作者信息

Gómez-Pérez Vanesa, Escrivá Peiró Dolores, Sancho-Cantus David, Casaña Mohedo Jorge

机构信息

Intensive Care Unit, La Fe Polytechnic and University Hospital, 46026 Valencia, Spain.

Department of Nursing, Catholic University San Vicente Mártir, 46001 Valencia, Spain.

出版信息

Healthcare (Basel). 2023 Jan 14;11(2):263. doi: 10.3390/healthcare11020263.

Abstract

BACKGROUND

Patient safety is a public health problem worldwide. In situ simulation (ISS) arises as a learning strategy that allows health professionals to immerse themselves in a real environment without endangering the patients until they have learned the skills needed, thus increasing the quality of care. This systematic review aimed to verify the efficacy of the use of "in situ simulation" as a method that will allow health professionals to increase patient safety in Intensive Care Units after the situation experienced during the pandemic caused by the COVID-19 virus.

METHODS

Seven studies were reviewed using the PRISMA methodology for systematic reviews. The CASPe guide was used to assess the quality of the manuscripts.

RESULTS

The main topics that emerged from this review in relation to in situ simulation were as follows: looking at aspects such as patient self-perception of safety, adverse events, interprofessional communication and health system organization in relation to in situ simulation.

CONCLUSIONS

The adequate implementation of in situ simulation after the COVID-19 pandemic in ICU services is shown to be an efficient and effective strategy to promote improvement in the attitudes on a culture of safety and teamwork of professionals.

摘要

背景

患者安全是一个全球性的公共卫生问题。情境模拟(ISS)作为一种学习策略应运而生,它使卫生专业人员能够置身于真实环境中,在掌握所需技能之前不会危及患者,从而提高护理质量。本系统评价旨在验证使用“情境模拟”作为一种方法的有效性,该方法将使卫生专业人员在经历由新冠病毒引起的大流行期间的情况后,提高重症监护病房的患者安全。

方法

使用PRISMA系统评价方法对七项研究进行了综述。使用CASPe指南评估手稿质量。

结果

本次综述中出现的与情境模拟相关的主要主题如下:从患者对安全的自我认知、不良事件、跨专业沟通以及与情境模拟相关的卫生系统组织等方面进行研究。

结论

在新冠疫情后,重症监护病房服务中充分实施情境模拟被证明是一种有效策略,可促进专业人员对安全文化和团队合作态度的改善。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b04/9858645/7eab54c7c230/healthcare-11-00263-g001.jpg

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