在NICU的疼痛管理干预后改善疼痛再评估的文档
Smitha Israel1, Sofia Perazzo1,2, Morgan Lee3
1From the Division of Neonatology at Children's National Hospital.
Pediatric quality & safety
|October 2, 2023
概括
实施自动化工具和个性化提醒显著改善了新生儿的及时疼痛重新评估,实现并维持75%的目标率.
科学领域:
- 新生儿护理 新生儿护理
- 疼痛管理 疼痛管理
- 质量改善 质量改善
背景情况:
- 经历痛苦手术的新生儿需要使用非语言尺度进行一致的疼痛评估和重新评估.
- 虽然护士进行初步评估,但疼痛重新评估的遵守是可变的.
- 该研究旨在提高新生儿疼痛重新评估率,新生儿疼痛激发和镇静量表 (N-PASS) 评分在60分钟内为4或更高.
研究的目的:
- 提高新生儿及时疼痛重新评估的速度.
- 为改善在60分钟内对新生儿在N-PASS上得分为4或更高的疼痛再评估协议的遵守.
- 确定和实施有效的干预措施,以持续改善新生儿疼痛管理.
主要方法:
- 利用IHI的改善模型来测试干预措施.
- 结果指标:在N-PASS评分≥4.4后1小时内重新评估的比率.
- 干预措施包括EHR变更,直接护士沟通 (文本/电子邮件),面对面的教育和年度能力模块.
主要成果:
- 基线重新评估的合规性为50%,具有显著的变化.
- 在4次干预后3个月内,重新评估总增加了29%.
- 实现了75%及时疼痛重新评估的目标,并持续了两年,评估之间的时间减少.
结论:
- 自动化工具和实时提醒可以提高不合规情况的可见性,提高员工的意识.
- 个性化的提醒和教育促进了改变疼痛管理实践的文化.
- 通过EHR提醒和标准化的新生儿疼痛再评估年度教育来促进持续改善.
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