一个质量改进项目,以提高内部操作快速响应系统的利用率
Asheen Rama1, Daniel Qian2, Ty Forbes3
1From the Division of Pediatric Anesthesiology, Department of Anesthesiology, Perioperative, and Pain Medicine, Stanford University School of Medicine, Stanford, Calif.
Pediatric quality & safety
|December 13, 2023
概括
快速反应小组 (RRTs) 改善了患者的治疗结果. 该项目使用基于模拟的教育将RRT在儿科外科外科设置中的使用增加了50%,提高了手术期间的患者安全.
科学领域:
- 儿科麻醉学 儿科麻醉学
- 提高质量 提高科学 提高质量
- 患者安全 患者安全
背景情况:
- 快速反应小组 (RRT) 有效地减少急症病房的发病率和死亡率.
- 在外科手术前的环境中,RRT的利用率不足.
- 工作人员辅助 (SAs) 功能与手术内环境中的RRT类似,而代码蓝色 (CBs) 表示心肺骤停.
研究的目的:
- 增加SA系统在儿科外科手术周围环境中的使用.
- 在六个月内将SA和CB警报的比率提高50%.
主要方法:
- 一个学术儿科医院进行了一项质量改善项目.
- 实施了每月的模拟,以教育提供者识别临床恶化和激活SA系统.
- 测量了SA与CB警报的比例,并调查了SA和过程满意度的病因.
主要成果:
- SA与CB警报的比率从1:13.3增加到1.5:1 (P = 0.0003).
- 喉发作是SA警报最常见的病因 (30.4%).
- 护士们对SA过程表示高度满意.
结论:
- 该项目成功地提高了在儿科外科手术周围环境中快速响应协议的使用.
- 基于模拟的教育和质量改进方法是项目的成功的关键.
- 增加SA利用可能会导致更早的干预和改善患者的治疗结果.
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