SCI解读｜医疗应急小组使用表在改进临床交接记录中的应用

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看多了文章也发现，不同期刊的格式差异蛮大的，难怪很多地方都说投的时候要根据不同期刊要求，修改文章格式。

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文章概况

Developing a Medical Emergency Team Running Sheet to Improve Clinical Handoff and Documentation

作者：Karen Mardegan, Melodie Heland, Tiffany Whitelock, Robert Millar

期刊：The Joint Commission Journal on Quality and Patient Safety Rapid，December 2013 Volume 39 Number 12 ， 570-57

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摘要

Background: During medical emergency team (MET) and cardiac arrest calls, a scribe usually records events on a running sheet. There is more agreement on what data should be recorded in cardiac arrest calls than for MET calls. In addition, handoff (handover) from ward staff to the arriving MET may be variable.

背景：在医疗急救小组 (MET) 和心脏骤停呼叫期间，工作人员通常会在记录单上记录事件。与 MET 呼叫相比，在心脏骤停呼叫中应记录的信息更多。此外，从病房工作人员到到达的MET的交接（handover）不尽相同。

Methods: In a quality improvement project, a novel MET running sheet was developed to document events and therapies administered during MET calls. Key characteristics of the form were improved form layout, increased space for event documentation, and prompts to assist handoff to the arriving MET using the Identity, Situation, Background, Assessment, Request (ISBAR) format. Ward nurses commonly involved in MET activation were surveyed to assess their perceptions of the new MET running sheet. Files of 100 consecutive MET calls were reviewed to assess compliance.

方法：在一个质量改进项目中，开发了一个新的 MET表来记录 MET 调用期间管理的事件和治疗。该表格的主要特点是改进表格布局，增加了事件文档的空间，并使用身份、情况、背景、评估、请求 (ISBAR) 格式提示协助移交给到达的MET 。对通常参与MET的病房护士进行调查，以评估他们对新 MET 跑步表的看法。连续审查了100个MET 调用的文件以评估合规性。

Results: Of 109 nurses invited to complete the survey, 103 did so (94.5% response rate). Overall, 87 (84.5%) of the 103 respondents agreed or strongly agreed that the new MET running sheet was better than the previous form for documenting MET management, and 58 (57.4%) of 101 respondents agreed or strongly agreed that it assisted handoff. The form was completed in 91 of a sample of 100 consecutive MET calls. Areas of less complete documentation included aspects of the ISBAR handover to the arriving MET and notification of the next of kin and usual clinicians at the completion of the call.

结果：在受邀完成调查的 109 名护士中，有 103 名完成了调查（响应率 94.5%）。总体而言， 103 名受访者中有 87 人（84.5%）同意或强烈同意新的 MET 运行表比以前记录 MET 管理的表格更好， 101 名受访者中有 58 人（57.4%）同意或强烈同意它有助于移交。该表格是在 100 次连续 MET 呼叫样本中的91次中完成的。文件不完整的领域包括将 ISBAR 移交给到达的MET以及在通话结束时通知近亲和普通临床医生的方面。

Conclusion:The MET running sheet, tailored to the clinical events that occur during episodes of MET review, may assist handoff from ward nurses to the arriving MET and event documentation.

【SCI解读｜医疗应急小组使用表在改进临床交接记录中的应用】结论：根据MET审查期间发生的临床事件量身定制的 MET 运行表可能有助于从病房护士到达的MET和事件文件交接。

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SCI解读｜医疗应急小组使用表在改进临床交接记录中的应用

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