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Online Commentary in Primary Care and Emergency Room Settings

机译：初级保健和急诊室设置中的在线评论

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This paper describes a communication practice called “online commentary” that is in widespread use in primary care in the USA. Online commentary is talk by a clinician that describes what he or she is finding in the course of the physical examination of the patient. The paper reviews the primary features of online commentary, with a special focus on its role in forecasting the likely results of the physical examination during the examination itself. It also describes patient outcomes that are associated with this use. It then uses data from an emergency room in the western USA to extend the notion of online commentary from primary care to the emergency setting. It proposes that online commentary facilitates effective teamwork by forecasting next actions, allowing members of the emergency team to anticipate probable next steps in the investigation and treatment of patient injuries.
机译：本文介绍了一种称为“在线评论”的交流做法，该做法在美国的初级保健中得到了广泛使用。在线评论是临床医生的谈话，描述了他或她在对患者进行身体检查过程中发现的内容。本文回顾了在线评论的主要功能，特别关注了它在预测体检过程中可能出现的体检结果中的作用。它还描述了与此用途相关的患者结果。然后，它使用来自美国西部急诊室的数据将在线评论的概念从初级保健扩展到急诊环境。它建议在线评论通过预测下一步行动来促进有效的团队合作，使急诊小组的成员可以预期在调查和治疗患者伤害中可能采取的下一步措施。

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