将精神病学服务整合到急诊室,通过使用质量改进方法来改善患者护理
Samuel Reinfeld1, Poonamdeep Gill1, Ricardo Cáceda
1Department of Psychiatry and Behavioral Health, Stony Brook University, Stony Brook, New York.
The Journal of nervous and mental disease
|June 29, 2023
概括
精神病患者在急诊室长时间停留是一个问题. 这项研究通过识别挑战和实施解决方案,减少咨询时间和加强医疗和精神病紧急服务之间的沟通,改善了护理.
科学领域:
- 紧急医疗 紧急医疗
- 精神病学是一个精神病学.
- 改善医疗保健质量 改善医疗保健质量
背景情况:
- 长时间的急诊室 (ED) 停留时间 (LOS) 对精神病主管投诉的患者有负面影响护理质量.
- 解决这些长时间的ED停留对于改善患者的治疗结果和医疗保健效率至关重要.
研究的目的:
- 提高医疗ED环境中需要精神病医疗服务的患者的护理质量.
- 识别和解决阻碍ED中有效提供精神病护理的具体挑战.
主要方法:
- 对ED工作人员进行了在线调查,以了解他们对综合精神病应急计划 (CPEP) 挑战的看法.
- 利用计划-做-研究-行动 (PDSA) 方法来实施确定的行动步骤.
- 专注于改善医疗ED和CPEP之间的合作.
主要成果:
- 在医疗ED和CPEP之间的合作中确定了主要的弱点.
- 成功地减少了心理咨询所需的平均时间.
- 在医疗ED和CPEP工作人员之间改善了沟通道和流程.
结论:
- 基于工作人员反的实施有针对性的干预措施可以显著改善ED精神病治疗.
- 简化沟通和咨询流程可以提高ED中精神病患者的护理效率和质量.
- PDSA循环是紧急环境中质量改善举措的有效框架.
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