改善喘行动计划完成率在一个学术儿童医院的五个部门
Maria G Alfieri1, Katie Catalano1, Tregony Simoneau2
1From the Department of Pediatrics, Boston Children's Hospital, Boston, Mass.
Pediatric quality & safety
|December 7, 2023
概括
一个质量改进项目成功地将儿童喘患者喘行动计划 (AAP) 的完成率从80%提高到87%,使用跨部门的竞争. 这一举措改善了患者的自我管理和提供者流程.
科学领域:
- 儿科肺病学 儿科肺病学
- 改善医疗保健质量 改善医疗保健质量
- 慢性疾病管理 慢性疾病管理
背景情况:
- 儿童喘是一种普遍的慢性疾病,需要定期管理.
- 喘行动计划 (AAP) 对于个性化喘自我管理至关重要,需要每年更新.
- 医疗保健提供者在持续完成儿童喘患者的AAP时遇到挑战.
研究的目的:
- 在五个部门的医疗保健系统中,将最新的喘行动计划 (AAP) 的儿科患者比例从80%提高到85%.
- 实施和评估一项质量改进倡议,重点是提高AAP完成率.
主要方法:
- 一个质量改进项目使用了改进模型框架.
- 在2021年6月至10月期间,五个医院部门 (青少年/年轻人医学,过敏,肺部,两个初级保健) 之间进行了跨部门竞赛.
- 计划-做-学习-行动周期和每月的学习课程促进了干预试验和协作.
主要成果:
- 统计过程控制分析显示,AAP总体完成率从基线80%增加到87%.
- 在干预期间,所有参与的部门都显示了AAP完成率的改善.
- 在各部门中观察到维持改善的完成率的变化.
结论:
- 跨部门的竞争有效地激励医疗保健部门加强提高AAP完成率的流程.
- 这种具有竞争力的质量改进方法促进了参与和思想分享,从而提高了业绩.
- 竞争模式可能适用于医疗保健中的其他质量改善举措.
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