一个"致力于维持"的干预措施,以改善流程绩效措施在门诊护理
Angela Miller1, Allen K Skoranski, Barbara Prior
1Penn Medicine Clinical Practices of the University of Pennsylvania, Philadelphia (Drs Miller and Fitzpatrick and Mss Prior and Pitt); Penn Medicine Medical Group, Penn Primary Care & Penn Specialty Practices, Philadelphia, Pennsylvania (Mr Skoranski); Corporate Information Services (Dr Brown McGlotten), Penn Medicine, Philadelphia, Pennsylvania (Mss Morgan and Hepschmidt); Hospital of the University of Pennsylvania, Philadelphia (Ms Smith); Primary Care and Penn Specialty Practices, Bala Cynwyd, Pennsylvania (Mr Cella); and University of Pennsylvania School of Nursing, Philadelphia (Dr Polomano).
为执照实践护士 (LPN) 和认证医务助理 (CMA) 实施"参与到维持"计划,显著提高了门诊护理机构的关键过程绩效措施 (PPMs) 查率. 这一举措证明了扩大临床角色的价值,以改善患者护理监测.
科学领域:
- 医疗保健管理的管理
- 改善门诊护理质量 改善门诊护理质量
- 临床工作流的优化 临床工作流优化
背景情况:
- 监测过程绩效措施 (PPMs) 在门诊护理中对于监管合规,护理标准,报销和患者护理评估至关重要.
- 现有的工作流程往往限制了执照实践护士 (LPN) 和认证医疗助理 (CMA) 的全部实践范围.
研究的目的:
- 评估"致力于维持"计划对PPM查率的影响.
- 评估在门诊环境中将查责任转移到LPN和CMA的有效性.
主要方法:
- 在18个门诊部门实施了"致力于维持"的综合计划.
- 该计划培训并授权LPN和CMA进行抑郁症,跌倒风险和烟草使用的查.
- 收集了干预前后查率的数据.
主要成果:
- 干预后,四个关键PPM的查率明显增加.
- 该干预措施在18个门诊部门实施,覆盖了超过200万次患者访问.
- 对LPN和CMA的增强作用导致了查遵守的显著改善.
结论:
- 将患者查责任从医生和高级从业人员转移到LPN和CMA,可以有效地提高查率.
- "致力于维持"计划提供了一个可扩展的模型,以提高门诊护理的质量和效率.
- 赋予辅助临床工作人员权力可以优化患者护理过程和结果.
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