在外科手术前的儿童流感疫苗接种:质量改进项目
Andrew J Meyer1, Jill R Smith1, Tara L Wright1
1Akron Children's Hospital, Akron, Ohio, USA.
Paediatric anaesthesia
|November 13, 2023
概括
儿科手术患者在手术前诊所访问期间接种了季节性流感疫苗,超过了三个季节的疫苗接种率目标. 这项质量改进倡议将疫苗接种安全地整合到术后护理中,而不会影响外科手术时间表.
科学领域:
- 儿科手术 儿科手术
- 预防传染病 预防传染病
- 提高质量 提高科学 提高质量
背景情况:
- 对于儿科患者来说,季节性流感疫苗接种至关重要,经常观察到未满足的需求.
- 术后期提供了一个独特的机会来管理流感疫苗,解决接种障碍.
- 将疫苗接种整合到儿科外科手术中心 (PSH) 的手术前诊所访问中可以提高疫苗接种率.
研究的目的:
- 在手术前诊所访问期间,在符合条件的儿科患者中建立和提高季节性流感疫苗接种率.
- 实施和评估针对外科手术期间流感疫苗接种的质量改善计划.
- 评估在PSH环境中使用流感疫苗的可行性和安全性.
主要方法:
- 在三个流感季节中使用了改善模式的方法.
- 实施的干预措施包括政策更新,供应采购,电子健康记录工具,员工教育和患者与家人沟通.
- 追踪疫苗接种率和监控当天的手术取消作为平衡措施,使用统计过程控制.
主要成果:
- 在连续三个赛季内实现并超过了流感疫苗接种率目标的10%,15%和18%.
- 自计划开始以来,共接种了695种流感疫苗.
- 没有观察到与外科手术期间接种疫苗相关的同一天手术取消.
结论:
- 在儿科PSH环境中成功建立并实现季节性流感疫苗接种率目标.
- 证明了在外科手术期间使用流感疫苗的安全性和有效性.
- 术后期是流感疫苗接种的可行机会,有可能扩展到其他常规儿童疫苗.
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