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cover of episode SCCM Pod-529: Bridging the Gap: Communication During Sepsis Transfers

SCCM Pod-529: Bridging the Gap: Communication During Sepsis Transfers

2024/12/4
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Greg S. Martin: 我关注败血症诊断的挑战性，以及改进诊断流程和患者护理的重要性。这项研究旨在了解转诊医生如何获知败血症患者在ICU治疗后的情况，以及及时有效的反馈对于改进败血症诊断和治疗的重要性。我们发现转诊医生渴望获得关于患者在ICU治疗后的反馈，但通常无法获得。他们希望通过电子方式（如EHR或邮件）或电话沟通的方式获得反馈，并且希望在患者住院早期（理想情况下在入院当天或第二天）获得反馈。他们主要关注诊断的准确性以及是否存在可以改进的方面，例如及时的治疗干预。 收治医生也希望分享反馈，但缺乏有效的沟通机制。需要开发适应性强的工具来促进医院内部的沟通，以改善败血症患者的护理。下一步是将研究结果转化为实践，在不同的医疗系统中进行试点测试，以评估工具的有效性和实用性。研究结果中最令人惊讶的是，人们对反馈的需求量之大以及他们尝试提供反馈的频率之高，这突显了改进沟通机制的重要性。 Kyle B. Enfield: 作为一名临床医生，我理解在繁忙的医疗环境中有效沟通的挑战性，以及及时反馈对患者护理的影响。这项研究强调了改进败血症患者转诊沟通的必要性，并为开发有效的沟通工具提供了宝贵的见解。

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This chapter explores the challenges of diagnosing sepsis and the importance of improving communication between referring and receiving clinicians to ensure timely and accurate diagnosis and treatment. The focus is on understanding how referring providers learn about patient care after ICU admission and the need for feedback mechanisms.
  • Sepsis is a common and difficult-to-diagnose condition.
  • Diagnostic delays and missed diagnoses are prevalent.
  • Improving communication between referring and receiving clinicians is crucial for timely and accurate sepsis care.

Shownotes Transcript

Patients with sepsis are regularly transferred to intensive care units, but there is a dearth of literature that describes the type of communication occurring between the receiving and referring clinicians after these transfers take place. The Society of Critical Care Medicine's (SCCM) Diagnostic Excellence Program sought to gain a better understanding of these communications through an in-depth survey. In this podcast, host Kyle B. Enfield, MD, discusses the survey results with grant principal investigator Greg S. Martin, MD, MSc, FCCM.

Dr. Martin also discusses a new toolkit created by SCCM to facilitate better transfer communication. Learn more about the toolkit and the Diagnosis Excellence Program at sccm.org/diagnosticexcellence.

This podcast offers 0.25 hours of accredited continuing education (ACE) credit. Learn more at https://sccm.org/diagnosticexcellence

The Diagnostic Excellence Program is funded by the Gordon and Betty Moore Foundation through a grant program administered by the Council of Medical Specialty Societies to support the development and dissemination of resources and programs to improve the timeliness, accuracy, safety, efficiency, patient-centeredness, and equity of diagnostic outcomes for patients in the United States.

Dr. Martin, a past SCCM president, is the James Paullin Distinguished Professor and division director of pulmonary, allergy, critical care and sleep medicine at Emory University. He is an international authority on critical care medicine and an expert on sepsis, COVID-19, and ARDS, having conducted groundbreaking clinical trials on these conditions, coauthored the Sepsis-3 definition, and published seminal papers for diagnosing and treating critically ill patients.