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Implementing an emergency department vascular access team: A quality review of training, competency, and outcomes.

实施急诊科血管通路团队: 培训、能力和结果的质量审查。

  • 影响因子:1.12
  • DOI:10.1177/1129729820924554
  • 作者列表:"Bell JA","Spencer TR
  • 发表时间:2021-01-01
Abstract

:Peripheral intravenous catheters are frequently used devices in emergency departments. Many patients now present with difficult anatomy and are labeled as difficult intravenous access patients. A common technology to address this challenge is ultrasound. While studies have examined the ability to train emergency staff, few have addressed how this should be done and the outcomes associated with such training. No studies were found with dedicated vascular access specialist teams in emergency departments. An emergency department vascular access specialist team was formed at a hospital in Bangor, Maine, United States to train, validate, and proctor clinicians with ultrasound-guided peripheral intravenous devices. A quality review of this process was compiled and determined that appropriate clinicians with dedicated training and guidance can achieve higher levels of procedural success. Furthermore, evidence substantiates that frequent practice is linked to a higher quality of care and that a significant need for such teams is present. This review examines how a team was implemented and its impact both department- and facility-wide. It is possible that hospitals benefit from the services of vascular access specialists to provide higher quality care. Successful implementation of such specialist teams requires foundational knowledge and skills in vascular access with ongoing quality measures to ensure competency and compliance with evidence-based practices.

摘要

: 外周静脉导管是急诊科经常使用的装置。许多患者现在具有困难的解剖结构,并且被标记为困难的静脉通路患者。解决这一挑战的常见技术是超声。虽然研究已经审查了培训应急工作人员的能力,但很少有人讨论应该如何做到这一点以及与这种培训相关的结果。没有研究发现专门的血管通路专家团队在急诊科。在美国缅因州班戈的一家医院成立了急诊科血管通路专家小组,用超声引导的外周静脉装置对临床医生进行培训、验证和监考。对这一过程进行了质量审查,并确定适当的临床医生经过专门培训和指导可以获得更高水平的程序成功。此外,有证据表明,频繁的实践与更高质量的护理有关,并且存在对此类团队的重大需求。本审查审查了一个团队是如何实施的,及其在整个部门和设施范围内的影响。医院有可能从血管通路专家的服务中受益,以提供更高质量的护理。成功实施此类专家团队需要血管通路方面的基础知识和技能,并持续采取质量措施,以确保能力和遵守循证实践。

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