改善支气管镜肺部体积减小的推模式:一个质量改善倡议
Christopher Di Felice1,2, Zachary B Strumpf1,3, Elizabeth A Edmiston1,2
1Louis Stokes Cleveland Department of Veterans Affairs Medical Center, Cleveland, Ohio, United States.
Chronic obstructive pulmonary diseases (Miami, Fla.)
|September 7, 2023
概括
可以改进对支气管镜肺体积减小 (BLVR) 患者的鉴定. 将病例识别整合到肺功能测试报告和提供者教育中,增加了BLVR转诊.
科学领域:
- 肺部医学 肺部医学
- 干预性肺病学 干预性肺病学
- 提高质量 提高科学 提高质量
背景情况:
- 严重的肺气和高通胀往往需要先进的治疗.
- 支气管镜式肺体积减小 (BLVR) 为部分患者提供了一种微创的选择.
- 目前BLVR的转诊策略是不可扩展的,限制了患者的访问.
研究的目的:
- 加强BLVR候选人的识别和推过程.
- 在一个大型退伍军人事务学术医疗中心内实施可扩展的战略.
主要方法:
- 进行了一项质量改进项目.
- 病例鉴定被整合到肺功能测试报告中.
- 提供了关于BLVR指示和转诊的提供者教育.
主要成果:
- 实施的战略显著增加了BLVR的转诊率.
- 将识别整合到例行测试中被证明是有效的.
结论:
- 提供者教育与综合案例识别相结合,改善了BLVR转诊.
- 这种可扩展的策略可以提高患者获得先进的肺病治疗的机会.
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