儿童医院急性护理行为响应小组的实施
Angela M Statile1,2,3, Michael Schweer4, Lisa Herrmann1,2
1Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, Ohio.
Pediatrics
|October 12, 2023
概括
一个行为响应小组 (BRT) 提高了员工对管理有行为需求的儿科患者的信心. 虽然员工受伤情况保持稳定,但BRT增强了住院医疗单位对安全和支持的看法.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 在儿科护理中的患者安全.
- 行为健康危机管理 行为健康危机管理
背景情况:
- 患有行为需求的儿科患者通常需要住院治疗,在行为危机期间存在风险.
- 积极的患者互动可能导致住院医疗机构的员工受伤.
研究的目的:
- 实施行为响应小组 (BRT),在一年内将员工受伤之间的间隔从99天增加到150天.
- 提高员工对安全和支持的认识,在管理有行为需求的儿科患者时提供支持.
主要方法:
- 一个多学科的团队利用质量改进方法来设计和实施BRT.
- 快速铁路系统包括主动的"聚集"和反应性的"STAT"响应选项.
- 在一年内收集和分析了有关事件,职业安全与健康管理局可记录的事件,自控器使用和员工调查的数据.
主要成果:
- BRT于2020年7月实施,平均每月发生13起事件.
- 职业安全与健康管理局可记录事件之间的日期稳定在最多134天.
- 员工对可用的行为支持的看法在实施后显著增加.
结论:
- 实施BRT可以增强员工的信心和对管理有行为需求的患者的感知支持.
- 进一步的供应商和系统层面的改进是必要的,以减少员工受伤.
相关概念视频
Acute Respiratory Failure-V
144
The treatment for acute respiratory failure varies based on factors like the underlying cause, overall health, and severity. A collaborative healthcare team is essential for early detection, often through arterial blood gas analysis. Identifying the cause is the primary goal, with treatment strategies adjusted for ventilation/perfusion (V/Q) mismatch, shunting, or diffusion impairment.
Ensure that patients are monitored continuously for their response to therapy, including changes in...
Ensure that patients are monitored continuously for their response to therapy, including changes in...
144
Cardiopulmonary Resuscitation II: ACLS Airway Management
16
Airway management is a key skill in emergency and critical care settings, as maintaining a clear airway is essential for adequate oxygenation and ventilation.Head Tilt-Chin Lift TechniqueThe head tilt-chin lift maneuver is an essential technique primarily used in patients without suspected cervical spine injuries. To perform this maneuver, one hand is placed on the patient’s forehead, and gentle pressure is applied backward to tilt the head. The fingertips of the other hand are positioned...
16
Operant Conditioning Intervention
61
Operant conditioning serves as a foundational principle in therapeutic interventions aimed at modifying maladaptive behaviors. Central to this approach is the notion that behaviors, both adaptive and maladaptive, are learned through reinforcement. By analyzing the environmental factors that reinforce problematic behaviors, clinicians can design interventions to weaken these reinforcements and replace maladaptive behaviors with healthier alternatives.
In operant conditioning, behaviors that are...
In operant conditioning, behaviors that are...
61
Interdisciplinary Care: The Health Care Team-II
1.4K
An interdisciplinary team includes many healthcare professionals working together and utilizing their skills, knowledge, and expertise to provide holistic and quality patient care. Here are a few more healthcare professionals.
Physical Therapist
A physical therapist (PT) aims to restore function or prevent additional impairment in a patient following an injury or disease. Massage, heat, cold, water, sonar waves, exercises, and electrical stimulation are some treatments used by PTs to treat...
Physical Therapist
A physical therapist (PT) aims to restore function or prevent additional impairment in a patient following an injury or disease. Massage, heat, cold, water, sonar waves, exercises, and electrical stimulation are some treatments used by PTs to treat...
1.4K
Rational Emotive Behavior Therapy
56
Cognitive-behavioral therapies (CBTs) are grounded in the belief that our thoughts profoundly influence our emotions and actions. Advocates of CBT emphasize three core assumptions: first, that cognitions are identifiable and measurable; second, that they are central to psychological functioning; and third, that irrational or maladaptive beliefs can be replaced with rational and adaptive ones. This transformative approach to therapy has paved the way for specific models such as Albert...
56
Cardiopulmonary Resuscitation IV: Pharmacological Management
12
Pharmacologic intervention is crucial in treating cardiac arrest patients during ACLS or Advanced Cardiovascular Life Support. The ACLS algorithms guide the administration of specific drugs based on the patient's cardiac arrest rhythm, which includes pulseless ventricular tachycardia (VT), ventricular fibrillation (VF), asystole, and pulseless electrical activity (PEA).EpinephrineIndication: Epinephrine is the first-line drug for all cardiac arrest rhythms.Mechanism of Action: Epinephrine...
12


