标准化和改进儿童激动管理在急诊部的护理
Jennifer A Hoffmann1, Alba Pergjika2, Lynn Liu3
1Division of Emergency Medicine, Department of Pediatrics.
Pediatrics
|June 15, 2023
概括
通过新的护理途径在儿科急诊室 (ED) 标准化动荡管理,显著减少了身体克制时间,并改善了急性动荡的药物使用.
科学领域:
- 儿科急救医学 儿科急救医学
- 提高质量 提高科学 提高质量
- 儿童和青少年精神病学 儿童和青少年精神病学
背景情况:
- 儿科精神卫生急诊室 (ED) 访问的数量不断增加,特别是那些涉及急性动荡的药物.
- 需要及时,标准化的行为策略和药物来减少身体克制的使用.
- 激发管理的现有挑战,包括不充分的触发器识别和不一致的药物治疗方案.
研究的目的:
- 在儿科ED中标准化激发管理.
- 为了减少患有急性激动症的儿科患者的身体束的持续时间.
- 为了提高对激动儿科患者的干预措施的及时性和一致性.
主要方法:
- 从2020年9月到2021年8月实施的多学科质量改进倡议.
- 开发一种激发护理路径和顺序,优化工作流程,并将德罗皮多尔添加到配方.
- 专注于标准化药物选择 (奥兰扎或德罗皮多尔) 和测量身体限制的时间.
主要成果:
- 对于严重动荡的标准化药物选择从8%增加到88%.
- 身体束的平均分钟从173分钟大幅下降到71分钟.
- 129次ED访问涉及严重动荡的药物治疗,只有10次ED访问需要身体克制.
结论:
- 兴奋护理途径的实施成功地标准化并改善了儿科患者的护理.
- 这些干预措施表明了在儿科ED中管理急性动的潜在模式.
- 需要进一步的研究,以适应这些策略社区ED设置,并改进最佳管理方法.
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