使用质量改进方法在门诊一般精神病学中实施基于测量的护理 (MBC)
Joint Commission journal on quality and patient safety
|July 16, 2023
概括
基于测量的护理 (MBC) 改善了精神病室门诊机构的症状表完成率. 这项质量改进项目的比率从10.8%上升到57.1%,突出显示了临床医生支持对患者结果的影响.
科学领域:
- 精神病学是一个精神病学.
- 医疗保健服务研究 医疗服务研究
- 提高质量 提高质量
背景情况:
- 基于测量的护理 (MBC) 涉及使用患者报告的症状数据来指导精神病治疗决策.
- 尽管在门诊精神病学中对患者的治疗结果和护理质量有已证明的好处,但MBC尚未得到广泛采用.
- 启动了一项质量改进 (QI) 项目,以增加MBC在一般精神病诊所的采用.
研究的目的:
- 在一般精神病诊所实施和评估在线MBC平台.
- 到2022年6月,实现症状尺度完成率达到75%的目标.
- 确定MBC实施的障碍和促进者.
主要方法:
- 在QI项目中使用了Model for Improvement方法.
- 主要结局是通过在线MBC平台完成症状尺度的完成率.
- 过程措施包括平台邀请,帐户创建和规模分配;平衡措施评估了行政负担和医生工作量.
主要成果:
- 症状尺度完成率显著增加,从干预前的10.8%增加到26周干预期间的57.1%.
- 临床医生提醒和指导是MBC吸收的关键促进者.
- 医生的态度和感知到的行政负担成为重大障碍.
结论:
- 这项QI倡议通过MBC证明了通过MBC完成症状尺度的增加.
- 成功实施MBC需要多种不同的测量尺度和考虑健康公平因素,如技术访问和多语言支持.
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