实施最佳实践,减少护士对呼叫快速响应小组的犹:基于证据的质量改进倡议
Journal of continuing education in nursing
|May 30, 2023
概括
实施教育策略和改善沟通,大大减少了护士在调用快速响应小组 (RRT) 时的犹. 这项质量改进倡议导致了更积极的RRT呼叫,提高了患者的安全.
科学领域:
- 提高护理质量 提高护理质量
- 患者安全 患者安全
- 医疗保健通讯 医疗保健通讯
背景情况:
- 护士经常推迟快速反应小组 (RRT) 的激活,直到通过修改的早期预警分数显现生理衰退.
- 这种犹可能会影响及时的患者干预和结果.
研究的目的:
- 减少护士不愿主动拨打RRT的情况.
- 在患者的病情严重恶化之前,增加RRT激活的频率.
主要方法:
- 实施了一项以教育为重点的质量改善倡议.
- 使用策略包括计划的移交通信,汇报和"好捕鱼"电子邮件.
- 旨在提高护士对RRT利用的知识和信心.
主要成果:
- 在实施后观察到每月主动RRT呼叫的统计显著增加 (p = .000159).
- 床边干预,非计划转移或急性生理和慢性健康评估得分没有显著变化.
结论:
- 教育干预和结构化沟通有效地减少了护士不愿主动拨打RRT的不情愿.
- 这些策略促进了早期的RRT参与,从而有可能改善患者的护理.
- 承认"捕获良好"也有助于减少犹.
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