逃跑:基于证据的缓解和管理
Janice E Marlett1, Brooke A Vacovsky1, Elizabeth A Krug1
1Sinai Hospital of Baltimore, LifeBridge Health, Baltimore, Maryland, USA.
Worldviews on evidence-based nursing
|September 30, 2023
概括
实施以证据为基础的策略显著减少了患者逃跑和其持续时间. 结构化评估和预防措施提高了患者安全和医院运营.
科学领域:
- 医疗保健管理的管理
- 患者安全 患者安全
- 护理研究 护理研究
背景情况:
- 病人逃跑对安全,医院声誉和财务构成风险.
- 一家学术社区医院在一个脆弱的病人逃离后,寻求护士领导的专业知识.
研究的目的:
- 确定基于证据的策略,以减少患者逃离事件.
- 解决逃跑评估,预防和应对方面的组织差距.
主要方法:
- 进行文献审查和差距分析,以提供实践变革建议的信息.
- 批判性地评估了55篇文章,利用26篇进行证据综合.
- 根据人口,干预,比较和结果 (PICO) 问题制定建议.
主要成果:
- 预实施 (2021年1月至6月):34起逃离案件,平均每起118分钟.
- 实施后 (2022年1月至6月):有12起逃跑案例,平均每起24分钟.
- 在逃离事件的数量和持续时间方面显著减少.
结论:
- 标准化,以证据为基础的建议有效地减少了患者的离婚.
- 结构化的评估,预防措施和反应对于提高患者安全至关重要.
- 持续的数据分析和流程改进对于持续改善逃跑预防至关重要.
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