确保没有死亡被忽视:开发医院死亡率审查和通知系统
Katherine E Bates1,2, Bethany Freeland2, Kathryn L Levy1,3
1Department of Pediatrics, C.S. Mott Children's Hospital.
Pediatrics
|September 22, 2023
概括
一个新的医院系统改善了对儿科死亡的审查,有86.6%的审查和更快的完成时间. 通知还帮助工作人员处理悲伤.
科学领域:
- 提高儿科医疗保健质量 提高儿科医疗保健质量
- 患者安全系统 患者安全系统
- 死亡率审查流程 死亡率审查流程
背景情况:
- 对死亡率的标准化审查可以揭示系统的改进.
- 开发了一个全医院系统,用于识别,审查和通知住院儿科病人的死亡.
研究的目的:
- 实施和评估一套全医院系统,用于识别,审查和通知住院儿科病人的死亡情况.
- 改进死亡率审查过程,加强员工之间关于死亡的沟通.
主要方法:
- 利益相关者创建了一个未来的州进程地图.
- 通过使用Plan-Do-Study-Act周期改进了在线死亡率审查表格,并在儿科服务中实施.
- 开发和完善了每月关于死亡的通知机制,并通过调查收集反.
主要成果:
- 86.6%的死亡率在系统实施后被审查.
- 审查完成的平均时间减少了49%.
- 通知通知员工死亡,促进讨论,并协助悲伤处理,其中76%的人认为它们有帮助.
结论:
- 建立了一个有效和受欢迎的儿童死亡率审查和通报系统.
- 该系统在审查率和及时性方面取得了改进.
- 这种方法有可能转移到其他学术儿科医院.
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