减少腹部超声波扫描的长时间禁食
Rajan Singh Sondh1, Rajnish Mankotia1
1Department of General Surgery, Sandwell and West Birmingham Hospitals NHS Trust, Birmingham, UK rmankotia@nhs.net rsondh7@yahoo.com.
BMJ open quality
|August 4, 2023
概括
在腹部超声波之前改善患者的禁食显著增强了体验和工作流程. 简单的干预措施,如员工教育和视觉辅助工具,使用计划-做-学习-行动周期,将合规性从22%提高到88%.
科学领域:
- 医疗成像医学成像
- 改善医疗保健质量 改善医疗保健质量
- 优化患者护理的优化
背景情况:
- 在腹部超声波之前长时间禁食会对患者的体验,诊断和医院费用产生负面影响.
- 大多数 (78%) 手术服务的患者没有遵守推的6小时禁食指南.
- 不遵守导致扫描重新安排,延迟治疗,增加医疗保健费用.
研究的目的:
- 在接受腹部超声波扫描的患者中减少长时间的禁食时间.
- 提高工作人员的认识和遵守预扫描禁食指南.
- 为了提高患者体验和优化临床工作流程在繁忙的外科设置.
主要方法:
- 实施代的计划-做-研究-行动 (PDSA) 周期来测试干预措施.
- 干预措施包括视觉辅助 (海报) 和在员工会议和教学课程期间加强沟通.
- 在每个PDSA周期后进行了系统的数据收集,以评估干预的有效性.
主要成果:
- 成功改善患者遵守禁食指南的情况,遵守率提高到88%.
- 观察到改善了患者体验和更有效的临床工作流程.
- 证明了简单,有针对性的干预措施在改善遵守医疗指南方面的有效性.
结论:
- 计划-做-研究-行动循环对于改进干预措施以改善患者结果是有效的.
- 简单的策略可以显著提高医疗禁食协议的遵守.
- 优化术前禁食可以改善患者的护理,降低成本,并简化医院的运作.
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