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Analysis of an American College of Surgeons Committee on Trauma (ACS-COT) Approved Pilot Project: Increasing Provider Communication During Interhospital Transfer.
Fletcher, Brian; West, Sarah K; Roberts, Christina; Pencil, Kristie; Spalding, M Chance; Martin, Stacey; Bonta, Marco; O'Mara, Michael Shay.
Afiliação
  • Fletcher B; Division of Trauma and Acute Care Surgery, Grant Medical Center (Mr Fletcher, Mss West and Martin, and Drs Spalding and O'Mara), and Division of Trauma Surgery, Riverside Methodist Hospital (Drs Roberts, Pencil, Bonta, and O'Mara), OhioHealth, Columbus, Ohio.
J Trauma Nurs ; 27(1): 6-12, 2020.
Article em En | MEDLINE | ID: mdl-31895313
The American College of Surgeons Committee on Trauma requires physician-to-physician communication prior to interhospital transfer. This requirement can be difficult to achieve in high-volume trauma centers. This pilot project utilizes trauma advanced practice providers (APPs) as the primary communicator, in lieu of the trauma surgeon, prior to interhospital transfer. The hypothesis suggests that APPs can provide safe recommendations and accurately triage patients for the highest level trauma alert. From January to April 2018, a total of 1,145 patients were transferred to a Level I or Level II trauma center. All interhospital trauma transfers were dispatched through a designated transfer center APP (TCAPP). Descriptive statistics were used to describe the frequency of core TCAPP recommendations, including reversal agents for anticoagulants, antibiotics for open fractures, direct admission criteria, administration of blood products, and triaging to the highest level of trauma activation. TCAPP triage accuracy was analyzed and reported as percentages. Percentages are compared between independent groups using a chi-square test. Prior to implementation of the TCAPP role, provider-to-provider communication occurred in less than 1% of interhospital transfers; TCAPP-to-provider communication occurred 92% of the time (p < .001). During the study period, the TCAPP made 398 care-related recommendations. Three (<1%) TCAPP recommendations were deemed inappropriate. The TCAPP (89.7%) and physician (89.9%) triage accuracy was not significantly different (p = .43). Interhospital transfer communication and recommendations can be performed safely and accurately by a trauma trained APP.
Assuntos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Centros de Traumatologia / Ferimentos e Lesões / Transferência de Pacientes / Guias de Prática Clínica como Assunto / Comunicação / Currículo / Educação Médica Continuada Tipo de estudo: Guideline Limite: Adult / Aged / Female / Humans / Male / Middle aged País/Região como assunto: America do norte Idioma: En Ano de publicação: 2020 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Centros de Traumatologia / Ferimentos e Lesões / Transferência de Pacientes / Guias de Prática Clínica como Assunto / Comunicação / Currículo / Educação Médica Continuada Tipo de estudo: Guideline Limite: Adult / Aged / Female / Humans / Male / Middle aged País/Região como assunto: America do norte Idioma: En Ano de publicação: 2020 Tipo de documento: Article