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通过技术和教育减少手术前禁食在急性整体外科成人队列中
概括
实施新的手术前禁食协议显著减少了患者的禁食时间和静脉注射液体的使用. 这种基于证据的方法弥合了手术环境中指导方针和临床实践之间的差距.
科学领域:
- 麻醉学 麻醉学
- 手术护理 手术护理
- 医疗信息学 医疗信息学
背景情况:
- 传统的"从午夜开始禁食" (FFMN) 协议仍然存在,尽管有证据支持减少手术前禁食.
- 在推的减速禁食指南和手术当前的临床实践之间存在差距.
研究的目的:
- 通过基于电子健康记录 (EHR) 的解决方案实施和评估一项试点手术前禁食减肥计划.
- 测量新协议对患者禁食时间和静脉注射液体 (IVF) 使用的影响.
主要方法:
- 一个试点项目"吃到2岁,喝水到6岁" (EU2WU6) 在紧急通用外科病房推出.
- 一个基于EHR的智能短语和教育活动促进了协议的采用.
- 收集和分析了协议采用,总禁食时间 (TFT) 和试管婴儿 (TT-IVF) 总时间的数据.
主要成果:
- 协议采用率 (EU2WU6) 迅速增加至80%.
- 欧盟2WU6显著减少了TFT (7比13小时) 和TT-IVF (3比8小时).
- 较少的患者需要在新协议的夜间液体 (18/45对34/50).
结论:
- 试点手术前禁食减少计划有效地减少了基于证据的指导方针和临床实践之间的差异.
- 成功实施证明了将减速禁食协议整合到急性手术护理中的可行性.
- 预计全医院的节省包括减少试管婴儿的使用,医生和护理时间.
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