Austin Health. Heidelberg Victoria Australia; Victoria University. St Albans Campus, Australia.
Austin Health. Heidelberg Victoria Australia.
Geriatr Nurs. 2024 Sep-Oct;59:658-661. doi: 10.1016/j.gerinurse.2024.08.037. Epub 2024 Aug 28.
A Medical Treatment Decision Maker (MTDM), also referred to as surrogate decision maker, by law, is to be appointed to make medical treatment decisions on behalf of a person who cannot make such decisions for themselves. In the Emergency Department (ED) and acute healthcare services, the clinicians' (nurses and doctors) ability to contact MTDMs is essential for patient care, particularly in time-critical situations. Our primary objective was to review the verification process and assess the accuracy of MTDM contact numbers in the Health Information System (HIS) to assess compliance with legislation. We used a quantitative method with retrospective observational study design and follow-up phone interview transcript. One hundred and fifty-nine participants were randomly selected of whom 76 % had MTDM. Patient advancing age had statistically significant association with the number of call attempts made to reach the listed MTDM (P = 0.043; CI, -3.541 to -0.057) and the MTDM's consent to participate (p = 0.023).
医疗决策者（MTDM），也被称为代理人决策人，根据法律规定，应被指定为无法自行做出医疗决策的人的代表来做出医疗决策。在急诊科和急性医疗保健服务中，临床医生（护士和医生）联系 MTDM 的能力对于患者护理至关重要，尤其是在时间紧迫的情况下。我们的主要目标是审查验证过程，并评估医疗信息系统（HIS）中 MTDM 联系号码的准确性，以评估立法的遵守情况。我们使用了一种定量方法，采用回顾性观察研究设计和后续电话访谈记录。随机选择了 159 名参与者，其中 76%有 MTDM。患者年龄的增长与联系列出的 MTDM 的次数有统计学显著关联（P = 0.043；CI，-3.541 至-0.057），以及 MTDM 同意参与（p = 0.023）。
