手动工具改善了从手术室到新生儿重症监护病房的过渡
Julie B Gallois1, Jessica A Zagory2, Brian Barkemeyer1
1From the Department of Pediatrics, Division of Neonatology, Louisiana State University Health Sciences Center School of Medicine, New Orleans, Louisiana.
Pediatric quality & safety
|October 11, 2023
概括
实施标准化交付工具改善了手术室到新生儿重症监护室 (NICU) 患者的过渡. 工作人员的满意度有所提高,但并非所有提供者存在或家庭更新的目标都实现了.
科学领域:
- 医疗质量改善 改善医疗质量
- 患者安全 患者安全
- 医疗保健系统工程 医疗保健系统工程
背景情况:
- 标准化的患者交接对于减少医疗错误和不良事件至关重要.
- 一个四级区域中心缺乏从手术室 (OR) 到新生儿重症监护室 (NICU) 的术后过渡的标准化过程.
研究的目的:
- 实施和评估一个独特的标准化交付工具和流程,用于OR到NICU患者的过渡.
- 在12个月内实现80%的遵守结构化术后交付工具.
主要方法:
- 一个跨学科的团队开发了一个标准化的交付工具和流程.
- 这个过程要求面对面的沟通,指定所需的团队成员,并强调家庭的参与.
- 移交工具合规性和流程措施被监控和审计.
主要成果:
- 实现了百分之八十的符合交付工具结果措施,尽管不一致.
- 在交付时80%的适当供应商存在的目标没有得到维持.
- 手术后立即的家庭更新有所改善,但没有达到目标;父母满意度数据不足.
- 员工的经验和满意度显示有所改善.
结论:
- 通过跨学科和跨部门合作开发的标准化交接工具和流程,增强了从OR到NICU的关键患者过渡.
- 虽然合规性和具体的流程措施需要进一步改进,但该倡议对患者安全和工作人员体验产生了积极的影响.
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