在紧急部门工作人员中评估和改善质量
Jason Cucchiara1, Julie Thompson, Michael Zychowicz
1School of Nursing, Duke University, Durham, North Carolina (Drs Cucchiara, Thompson, and Zychowicz); Northern Orthopaedics, Mount Airy, North Carolina (Drs Cucchiara and Williamson); and Mount Airy Emergency Physicians, Mount Airy, North Carolina (Dr McHone).
Advanced emergency nursing journal
|July 28, 2023
概括
这项质量改进项目提高了急诊室 (ED) 的 splinting,将正确的应用从50%增加到95%. 员工对 splint 应用的信心也显著提高,使所有患者受益,特别是弱势群体.
科学领域:
- 紧急医疗 紧急医疗
- 提高质量 提高质量
- 整形外科护理 整形外科护理
背景情况:
- 紧急服务部门 (ED) 的高流动率和不充分的培训有助于低于最佳的 splint应用.
- 不良的可以导致患者受伤,如疼痛,胀和皮肤并发症.
- 持续,高质量的 splint 应用对于骨折稳定和防止进一步损伤至关重要.
研究的目的:
- 在ED环境中评估和提高 splint 应用的质量.
- 评估和提高ED工作人员对 splint 应用的信心水平.
- 调查改进的 splinting 实践对患者结果的影响,特别是在高风险和边缘化人群中.
主要方法:
- 一个质量改进项目,利用基于利克特的分析对20个ED应用的片进行了分析.
- 实施有针对性的培训课程,以改善ED工作人员的 splinting 技术.
- 对20个支骨进行培训后分析,并评估在教育干预之前和之后的员工信心水平.
主要成果:
- 统计学上显著的改善在 splint 应用质量和员工信心上都被观察到.
- 在培训课程结束后,正确的 splint 应用率从50%上升到95%.
- 紧急部门工作人员对 splint 应用的信心从 35% 增加到 77.1%.
结论:
- 教育干预措施有效地提高了 splint 应用的质量和员工对 ED 的信心.
- 改进的 splinting 实践会对患者护理产生积极影响,减少潜在的伤害和并发症.
- 该项目证明了对资源有限,并具有较高的并发症风险的脆弱患者群体的积极影响.
相关概念视频
Flail Chest-II
206
Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
Assessment:
1. Clinical Evaluation:
History:
206
Assessment of apical radial pulse
784
Apical-Radial (A-R) Pulse Assessment
The A-R pulse assessment involves simultaneous evaluation of the apical and radial pulses. When the apical and radial pulse rates vary, this assessment helps identify a pulse deficit.
Pre-Procedural Preparation
The A-R pulse assessment involves simultaneous evaluation of the apical and radial pulses. When the apical and radial pulse rates vary, this assessment helps identify a pulse deficit.
Pre-Procedural Preparation
784
SBAR II: Application of SBAR
4.5K
SBAR is an effective communication tool used by healthcare professionals to communicate patient information accurately. SBAR stands for Situation, Background, Assessment, and Recommendation. For a better understanding, an example is given below.
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
4.5K
Pre-Procedural Guidelines for Assessing Blood Pressure
595
Accurate blood pressure assessment is crucial for diagnosing and managing various health conditions. To ensure the reliability of these measurements, healthcare professionals must adhere to standardized pre-procedural guidelines. These guidelines enhance patient safety and improve the overall quality of healthcare. The following steps are essential for obtaining accurate and consistent blood pressure readings, from using the appropriate tools to ensuring effective communication with the...
595
Peripheral Artery Disease V: Postoperative Nursing Management
12
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
12
Assessment of blood pressure in brachial artery(one-step method)
639
This procedural guide systematically measures blood pressure using an oscillometric digital sphygmomanometer, emphasizing accuracy, patient safety, and comfort.
Prepare for the Procedure:
Prepare for the Procedure:
639


