A morning briefing: setting the stage for a clinically and operationally good day.
A morning briefing: setting the stage for a clinically and operationally good day.
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早间简报：为临床和操作上的美好一天奠定基础。
DOI：
10.1016/s1553-7250(05)31062-2
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发表时间：
2005
影响因子：
2.3
通讯作者：
Pronovost,Peter
中科院分区：
文献类型：
--
作者：
Thompson,David;Holzmueller,Christine;Hunt,David;Cafeo,Christina;Sexton,Bryan;Pronovost,Peter
477 patient flow is paramount to avoid increased vulnerability to patients left in the operating room or emergency room who are waiting for an available critical care bed. Preparing for optimum patient flow is a multistep process, beginning with the night-charge nurse’s identifying patients ready for discharge to an inpatient unit. After this information is confirmed with the clinical fellow, it is passed onto the nursing coordinator, who locates appropriate beds based on the specialty inpatient unit for that patient type. When a bed is identified, the report must be given to the nurse on the admitting inpatient floor. The resident covering and ultimately discharging the patient must be notified to write transfer orders in the midst of other responsibilities, which requires reviewing the chart, writing the orders, and reconciling the patient’s medications.■“What are your concerns regarding potential problems for today?” identifies any potential problems with patient scheduling, equipment availability, outside patient testing, staffing, and provider skill mix. If any problems or defects are identified, a staff member can be assigned to follow up and inform the team about action taken. For example, if a piece of equipment is malfunctioning, the charge nurse would contact biomedical engineering for repair and procure an interim replacement. This information would then be passed along to the clinical attending physician, clinical fellow, and the nursing staff and documented on the morning briefing tool.
