Kallenbach A M, Meyer D S
Lutheran General Hospital, Park Ridge, Ill, USA.
Crit Care Nurse. 1996 Oct;16(5):77-83.
The flow chart, guidelines, and document describe the mechanism for patient care conferences. Because the need, process, and documentation of patient care conferences have been clarified, care conferences are now more consistent, efficient, and effective. Documentation streamlined the process of setting up care conferences by recording the following information: who was notified, who would attend, specific issues to be discussed, conference scheduling summary of plans and decisions made. Task force satisfaction was high because of a short timeline, clear problem definition, clear goals, team sponsorship, and a good end product. Use of continuous quality improvement techniques added to the success of this project, because there was a methodology for starting with a variable, unclear process and ending with a creative, efficient process. All members of the healthcare team and patients and families were satisfied, because the patient care conference was available to discuss specific issues and reach consensus on decisions about the patient's treatment plan at critical points during the patient's hospital course.
流程图、指南和文件描述了患者护理会议的机制。由于患者护理会议的需求、流程和记录已经明确,护理会议现在更加一致、高效且有效。记录以下信息简化了安排护理会议的流程:通知了谁、谁将参加、要讨论的具体问题、会议安排、计划和决策总结。由于时间线短、问题定义明确、目标清晰、团队支持以及最终成果良好,特别工作组的满意度很高。持续质量改进技术的使用促成了该项目的成功,因为存在一种从可变的、不明确的流程开始,以富有创造性的、高效的流程结束的方法。医疗团队的所有成员以及患者和家属都感到满意,因为患者护理会议可供讨论具体问题,并在患者住院期间的关键点就患者的治疗计划决策达成共识。