质量改善项目在复杂的腹壁服务中的作用
Sofia Bitsios1, Gaurav Kulkarni2, Raunaq Chhabra2
1Surgery, Mid and South Essex NHS Foundation Trust, Chelmsford, GBR.
Cureus
|November 29, 2023
概括
质量改善项目 (QIP) 简化了复杂腹壁重建 (AWR) 患者的护理. 这些举措改善了患者的生活质量,并减少了医疗保健资源的压力.
科学领域:
- 手术重建手术重建的方法
- 医疗保健管理的管理
- 提高质量 提高质量
背景情况:
- 复杂的腹壁带来管理挑战,通常需要腹壁重建 (AWR).
- 优先考虑公平获取的医疗保健系统可能会因为资源密集性而优先考虑诸如复杂等不危及生命的疾病.
- 患有复杂腹壁的患者经历了相当大的生活质量 (QoL) 负担.
研究的目的:
- 概述与AWR相关的QoL负担.
- 突出质量改进项目的重要性 (QIP) 在建立和简化AWR护理方面.
- 为AWR服务提出一个可转移的模型.
主要方法:
- 建立了一个区域AWR多学科团队会议和推形式.
- 启动了整形外科和整形外科之间的联合诊所.
- 在精选的AWR患者中实施了渐进性肺上瘤的标准操作程序.
- 通过临床医生和患者问卷和使用EuraHS-QoL和卡罗来纳州舒适度表得分的定量数据收集定性数据.
主要成果:
- 临床医生和患者对实施的QIP报告了积极的反应.
- 渐进性肺上腺瘤在患者的治疗结果中显著改善.
- QIP在改善患者的生活质量和舒适性方面是有效的.
结论:
- 质量计划在为AWR患者建立和优化服务方面发挥着至关重要的作用.
- 重复应用QIP可以创建一个强大的,可转移的AWR护理模型.
- 实施QIP可以带来公平的护理,改善结果,并减少AWR患者的医疗资源利用率.
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