在单个中心的儿科和心脏ICU中实施ICU解放包的障碍
Anna McCudden1, Hector R Valdivia1, Jane L Di Gennaro1,2
1Division of Pediatric Critical Care Medicine, Department of Pediatrics, University of Washington School of Medicine, Seattle, WA, USA.
Journal of intensive care medicine
|December 18, 2023
概括
实施儿科ICU解放包的障碍包括工作量和沟通问题. 解决这些问题,以及员工教育早期流动性和呼吸机断奶方案,是改善儿科重症监护病房结果的关键.
科学领域:
- 儿科重症监护医药 儿科重症监护医药
- 改善医疗保健质量 改善医疗保健质量
- 实施科学 实施科学
背景情况:
- 已经证明,ICU解放"ABCDEF"包可以提高严重病情的成年人的治疗结果.
- 儿科ICU解放包的实施面临着独特的挑战.
- 了解这些障碍对于有效采用至关重要.
研究的目的:
- 确定实施儿科ICU解放包的常见障碍.
- 检查各种ICU工作人员角色之间的障碍感知如何不同.
- 随着时间的推移跟踪报告障碍的变化.
主要方法:
- 在2017年和2020年,对儿科和心脏ICU工作人员进行了91项调查,并对其进行了管理.
- 调查通过电子方式分发给护士,呼吸治疗师,医生,高级实践提供者,治疗师和药剂师.
- 数据分析比较了不同角色和不同调查年份的回答.
主要成果:
- 增加的工作量,沟通挑战,以及呼吸治疗师指导的呼吸机断奶缺乏被广泛认可的障碍.
- 在2020年,护士比医生/APP更担心责任,人身伤害,患者严重程度和家庭不适.
- 在2017年至2020年期间,呼吸治疗师报告说,早期动员时的不适较少,护士报告说,对患者伤害的担忧较少.
结论:
- 需要有针对性的实施策略来克服已识别的障碍.
- 教育员工关于早期流动性的安全性至关重要.
- 考虑呼吸治疗师领导的呼吸机断奶和标准化跨学科沟通可以改善捆绑采用.
关键词:
这是ABCDEF捆绑的ABCDEF捆绑.障碍物 障碍物 障碍物早期的移动性早期的移动性重症监护病房是重症监护病房.儿科 儿科 儿科质量改善 质量改善调查和问卷调查和问卷调查.工作负载的工作负载.更多相关视频
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