增加门诊部门初级儿科护理的咨询时间
Subhashchandra Daga1, Achla Daga2
1Pediatrics (Retired), Pacific Medical College and Hospital, Udaipur, India.
Integrated healthcare journal
|July 13, 2023
概括
通过结构化方法,儿科门诊诊疗程显著改善,平均访问时间从不到5分钟增加到12分钟. 这提高了护理质量,并扩大了服务,而不需要额外的员工.
科学领域:
- 儿科医疗保健 儿科医疗保健
- 门诊护理服务 门诊护理服务
- 临床过程改进 临床过程改进
背景情况:
- 儿科门诊科 (P-OPD) 经常面临短期咨询时间的挑战,限制了全面的患者护理.
- 现有的实践缺乏结构化的治疗指南,生长评估和详细的临床记录,影响了护理质量.
研究的目的:
- 提高儿童门诊护理咨询的持续时间和质量.
- 实施和评估一个结构化的干预措施,以改善P-OPD服务.
主要方法:
- 采用前后研究设计来比较P-OPD咨询时间和核心活动.
- 干预涉及人员的重组工作,以整合关键评估和干预.
- 收集关于咨询时间和患者评估和干预范围的数据.
主要成果:
- 每位患者的平均咨询时间从3.5-5分钟增加到大约12分钟.
- 核心活动的范围,包括危险信号检测,疾病治疗,生长评估和咨询,显著扩大.
- 每天看病的患者人数增加到平均20人.
结论:
- 一个结构化的干预有效地改善了儿科门诊咨询的持续时间和质量.
- 增强护理模式扩大了评估和干预的范围,而不需要额外的员工.
- 优化现有资源可以带来大量改善门诊儿科护理.
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