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首页> 外文期刊>Western journal of nursing research >Interdisciplinary Rounds and Structured Communication Reduce Re-Admissions and Improve Some Patient Outcomes.
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Interdisciplinary Rounds and Structured Communication Reduce Re-Admissions and Improve Some Patient Outcomes.

机译:跨学科轮次和结构化的交流减少了再次入院并改善了一些患者的治疗效果。

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摘要

Hospital communication is more than access to information. Among staff, it is about achieving situation awareness-an understanding of a patient's current condition and likely trajectory. In the multidisciplinary context of providing care, structure, consistency, and repeatability of communication will enable a shared understanding of the patient and plan, leading to improved patient satisfaction and outcomes. This was tested using the Situation-Background-Assessment-Recommendation (SBAR) protocol, a re-admissions risk assessment and daily interdisciplinary rounds (IDR) in the medical/surgical units of a hospital. The impact of these interventions on patient satisfaction, Foley catheter removal compliance, and patient re-admission rates was assessed. Over the 3 year period, Foley compliance improved from 78% to 94%, and re-admissions decreased from 14.5% to 2.1%, both significant. Patient satisfaction trended positively, but was not significant. These results support the value of SBAR and IDR, and are advocated to improve situation awareness and maintain focus on key patient data.
机译:医院交流不仅仅是获取信息。在工作人员中,这是关于了解情况的知识-了解患者的当前状况和可能的轨迹。在提供护理的多学科背景下,沟通的结构,一致性和可重复性将使患者和计划获得共同的理解,从而提高患者的满意度和结果。使用情境-背景-评估-推荐(SBAR)协议,再入院风险评估和医院的医疗/外科部门的日常跨学科轮诊(IDR)对这进行了测试。评估了这些干预措施对患者满意度,Foley导管拆除顺应性和患者再次入院率的影响。在这三年中,Foley的合规率从78%提高到94%,再入学率从14.5%下降到2.1%,两者均显着。患者满意度呈积极趋势,但不显着。这些结果支持SBAR和IDR的价值,并被提倡提高状况意识并保持对关键患者数据的关注。

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