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减少手术患者遗漏的药物
George Williams1, Anna Halstead1
1Senior House Officer, General Surgery, Poole Hospital, University Hospitals Dorset NHS Foundation Trust, Poole.
British journal of nursing (Mark Allen Publishing)
|August 18, 2023
概括
实施有针对性的干预措施,包括护士主导的处方,在选择性手术患者中显著减少了错过的药物剂量,从9.8%降至0%. 这项质量改进项目提高了患者的安全性,并简化了护理途径.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 患者安全 患者安全
- 手术护理 医疗护理
背景情况:
- 准确的药物表对于选择性手术患者至关重要,以防止错过的药物剂量和手术前并发症.
- 现有的药物管理系统可能存在效率低下,导致药物错误.
- 多学科团队合作对于优化患者护理至关重要.
研究的目的:
- 实施和评估旨在减少选择性手术患者遗漏药物剂量的干预措施.
- 为了提高准确性和及时性在外科手术期间的药物管理.
- 评估在临床实践中实施的变革的可持续性.
主要方法:
- 一个质量改进项目,使用驱动图来确定干预的关键领域.
- 实施了四项干预措施:对选修课程的改变,初始职务程序和基于护士的处方.
- 使用计划-做-研究-行动 (PDSA) 循环,遵循NHS改进指南进行代评估和改进.
主要成果:
- 在干预实施后,错过药物剂量的百分比从9.8%降至0%.
- 确定了两个关键干预措施是可持续的,并集成到例行可选患者途径中.
- 在药物管理准确性和患者安全性方面显著改善.
结论:
- 有针对性的质量改善举措,包括基于护士的处方,可以有效地消除在选择性外科设置中错过的药物剂量.
- 在药物管理方面赋予护理人员权力,提高了患者的安全性,减少了不良结果.
- 持续改变现有系统可以提高患者护理和手术服务的运营效率.
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