在门诊医院环境中实施食道查:质量改进项目
Jessica W Gregor1, Stephanie A Watts2
1Department of Otolaryngology-Head and Neck Surgery, Mayo Clinic Phoenix, AZ.
American journal of speech-language pathology
|September 18, 2023
概括
这项研究在强大的食道查测试 (REST) 中训练了语音语言病理学家 (SLP),以改善失消症评估. 在多学科诊所实施REST在80%的查患者中发现了潜在的食道吞障碍.
科学领域:
- 吞障碍 吞障碍 吞障碍
- 改善临床质量的改善.
- 语音语言病理学 语言病理学
背景情况:
- 口腔喉和食道吞评估通常是单独的,可能缺少全面的吞障碍.
- 语音语言病理学家 (SLP) 可能缺乏培训或了解在门诊环境中食道查的可行性.
- 这种差距可能导致不完整的评估和延迟患者护理.
研究的目的:
- 在强大的食道查测试 (REST) 中教育和培训SLPs.
- 确定在多学科的吞诊所中实施REST协议的可行性.
- 改进吞功能障碍的综合评估.
主要方法:
- 一个质量改进项目 (QIP) 使用了鱼骨分析和六西格玛方法.
- SLPs接受了REST协议的培训,使用Cohen的kappa评估评分器的可靠性.
- 作为视频光镜吞研究 (VFSS) 的辅助,REST协议被实施了3个月.
主要成果:
- 在参与的SLPs中,获得了足够的评级者可靠性 (κ = .8).
- 在136名门诊患者中,有100人通过REST完成了全食道查.
- 完成全面查的80% (80/100) 的患者显示出潜在的食道吞障碍.
结论:
- 将食道查 (REST) 与口腔评估相结合,可以提高失症的评估.
- 这种方法通过加快和澄清多学科团队的下一步步骤来改善患者护理.
- 在多学科的吞诊所环境中,REST协议是可行的.
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