在熟练护理设施中加快对败血症的检测和干预,使用败血症途径
Asma M Ahmed1, Efy Macapili, Michael J Brenner
1COVID Operations, United Health Care, Valencia, California (Dr Ahmed); Santa Clarita Nursing Facility, Newhall, California (Ms Macapili); Department of Otolaryngology-Head & Neck Surgery, University of Michigan Medical School, Ann Arbor, and Global Tracheostomy Collaborative, Raleigh, North Carolina (Dr Brenner); and Department of Nursing Faculty, and Outcomes After Critical Illness and Surgery Research Group, Johns Hopkins University, Baltimore, Maryland (Dr Pandian).
在熟练护理机构 (SNFs) 实施标准化败血症途径显著改善了败血症识别和临床结果,减少了医院转移. 这一途径是SNF早期毒症检测的关键.
科学领域:
- 老年医学 老年医学
- 传染病管理 传染病管理
- 改善医疗保健质量 改善医疗保健质量
背景情况:
- 早期的败血症检测对于降低死亡率至关重要,但在熟练护理机构 (SNFs) 中,它经常被推迟.
- 熟练的护理机构在及时识别败血症方面面临挑战,导致潜在的负面患者结果和医院再入院.
研究的目的:
- 在熟练护理机构 (SNF) 实施和评估标准化败血症途径,以改善败血症检测并减少医院再入院.
- 该研究旨在评估新型SNF败血症途径对患者结局的影响,包括败血症识别,治疗和转移率.
主要方法:
- 采用前/后实施研究设计来评估SNF败血症途径的有效性.
- 该途径整合了败血症查工具和败血症包,并支持SNF工作人员的全面教育.
- 关键的结果指标包括败血症检测率,治疗干预措施,停留时间,住院转移率和死亡率.
主要成果:
- 败血症的识别得到了很大改善,在实施后从56%增加到86% (P < .001).
- 与败血症相关的住院转移从68%降至44% (P = .07),显示出积极的趋势.
- 基本实验室检测和败血症干预率显著增加 (P < .001),证明了改善的临床管理.
结论:
- 经过修改的SNF败血症通路有效地加速了败血症的鉴定,并改善了临床结果.
- 在SNF中实施标准化败血症途径是一种可行的策略,可以改善患者护理并减少重入院.
相关概念视频
Nursing Clinical Information System
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
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Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed....
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