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北京论坛（2007）文明的和谐与共同繁荣——人类文明的多元发展模式

作者： richard leigh henry Deputy Vice-Chancellor The University of New South Wales

The University of New South Wales(UNSW in Australia is a case study which demonstrates how universities can and do play a key role in social *** order to appreciate the influence of any university,we need to understan...

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Development and pilot implementation of a patient-oriented discharge summary for critically Ill patients

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World Journal of Critical Care Medicine 2022年第4期11卷 255-268页

作者： Anmol Shahid Bonnie Sept Shelly Kupsch Rebecca Brundin-Mather Danijela Piskulic Andrea Soo Christopher Grant Jeanna Parsons leigh Kirsten M Fiest henry T Stelfox Department of Critical Care Medicine University of CalgaryCalgary T2N 4Z6AlbertaCanada Department of Psychiatry Hotchkiss Brain InstituteCalgary T2N 4Z6AlbertaCanada School of Health Administration Dalhousie UniversityHalifax B3H 4R2Nova ScotiaCanada

BACKGROUND Patients leaving the intensive care unit(ICU)often experience gaps in care due to deficiencies in discharge communication,leaving them vulnerable to increased stress,adverse events,readmission to ICU,and *** facilitate discharge communication,written summaries have been implemented to provide patients and their families with information on medications,activity and diet restrictions,follow-up appointments,symptoms to expect,and who to call if there are *** written discharge summaries for patients and their families are utilized frequently in surgical,rehabilitation,and pediatric settings,few have been utilized in ICU *** To develop an ICU specific patient-oriented discharge summary tool(PODS-ICU),and pilot test the tool to determine acceptability and *** Patient-partners(i.e.,individuals with lived experience as an ICU patient or family member of an ICU patient),ICU clinicians(i.e.,physicians,nurses),and researchers met to discuss ICU patients’specific informational needs and design the PODS-ICU through several cycles of discussion and iterative *** team nurses piloted the PODS-ICU with patient and family participants in two ICUs in Calgary,***-up surveys on the PODS-ICU and its impact on discharge were administered to patients,family participants,and ICU *** Most participants felt that their discharge from the ICU was good or better(n=13;87.0%),and some(n=9;60.0%)participants reported a good understanding of why the patient was in *** participants(n=12;80.0%)reported that they understood ICU events and impacts on the patient’s *** many patients and family participants indicated the PODS-ICU was informative and useful,ICU nurses reported that the PODS-ICU was“not reasonable”in their daily clinical workflow due to“time constraint”.CONCLUSION The PODS-ICU tool provides patients and their families with essential information as they discharge from the *** tool has

关键词： Discharge tool Patient discharge summary Patient communication Family communication Transitions in care Intensive care unit

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