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作者： (1955-)Alam Shahidul falvo Rosa Maria.

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National preparedness survey of pediatric intensive care units with simulation centers during the coronavirus pandemic

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World Journal of Critical Care Medicine 2020年第5期9卷 74-87页

作者： Kamal Abulebda Rami A Ahmed Marc A Auerbach Anna M Bona Lauren E falvo Patrick G Hughes Isabel T Gross Elisa J Sarmiento Paul R Barach Department of Pediatrics Division of Critical CareIndiana University School of MedicineRiley Hospital for Children at Indiana University HealthIndianapolisIN 46202United States Department of Emergency Medicine School of MedicineIndiana UniversityIndianapolisIN 46202United States Department of Pediatrics Division of Pediatrics Emergency MedicineYale University School of MedicineNew HavenCT 06504United States Department of Integrated Medical Science Florida Atlantic UniversityBoca RatonFL 33431United States Department of Emergency Medicine Yale University School of MedicineNew HavenCT 06504United States Department of Pediatrics Wayne State University School of MedicineDetroitMI 48202Jefferson College of Population HealthPhiladelphiaPA19107United States

The coronavirus disease pandemic caught many pediatric hospitals unpreparedand has forced pediatric healthcare systems to scramble as they examine and planfor the optimal allocation of medical resources for the highest priority *** is limited data describing pediatric intensive care unit (PICU) preparednessand their health worker *** describe the current coronavirus disease 2019 (COVID-19) preparedness effortsamong a set of PICUs within a simulation-based network *** A cross-sectional multi-center national survey of PICU medical director(s) fromchildren’s hospitals across the United States. The questionnaire was developedand reviewed by physicians with expertise in pediatric critical care, disasterreadiness, human factors, and survey development. Thirty-five children’shospitals were identified for recruitment through a long-established nationalresearch network. The questions focused on six themes: (1) PICU and medicaldirector demographics;(2) Pediatric patient flow during the pandemic;(3)Changes to the staffing models related to the pandemic;(4) Use of personalprotective equipment (PPE);(5) Changes in clinical practice and innovations;and(6) Current modalities of training including *** report on survey responses from 22 of 35 PICUs (63%). The majority of PICUswere located within children’s hospitals (87%). All PICUs cared for pediatricpatients with COVID-19 at the time of the survey. The majority of PICUs (83.4%)witnessed decreases in non-COVID-19 patients, 43% had COVID-19 dedicatedunits, and 74.6% pivoted to accept adult COVID-19 patients. All PICUsimplemented changes to their staffing models with the most common changesbeing changes in COVID-19 patient room assignment in 50% of surveyed PICUsand introducing remote patient monitoring in 36% of the PICU units. Ninety-fivepercent of PICUs conducted training for donning and doffing of enhanced *** 6 months into the pandemic, one-third of PICUs across the U

关键词： COVID-19 Pediatric intensive care unit Simulation Practice innovations Training Preparedness

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病人教育

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中国全科医学 2004年第5期7卷 357-360页

作者： Robert b.Kelly donna R.falvo 梁万年 100054 北京市首都医科大学公共卫生与家庭医学院

病人教育是发生在医生与病人之间宣教与学习的过程,病人教育能够改善医患关系、提高病人满意度、降低病人费用、降低发病率和死亡率,提高生活质量,使病人能自觉规范自己的健康行为或增加他们促进健康的自主能力.研究表明,病人教育的战... 详细信息

病人教育是发生在医生与病人之间宣教与学习的过程,病人教育能够改善医患关系、提高病人满意度、降低病人费用、降低发病率和死亡率,提高生活质量,使病人能自觉规范自己的健康行为或增加他们促进健康的自主能力.研究表明,病人教育的战略可以给社会带来巨大效益(Mulen et al,1995),在病人教育方面投资1美元,可以节约3～4美元的医疗费用(Bartlett,1995).目前主要由美国全科医生学院(AAPF)和全科医学的师资团体(STFM)负责组织病人教育系列专题委员会,设立病人教育的分支机构.

关键词：病人教育医患关系医疗费用全科医学

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