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改善住院儿童的人类测量:质量改进项目
Sabrina Persaud1,2, Bridget M Hron2,3, Coral Rudie2
1Clinical Education, Informatics, Quality and Professional Practice Department, Boston Children's Hospital, Boston, Massachusetts, USA.
概括
这项质量改进项目成功提高了儿科人类识别文档率,大大提高了对营养不良风险的识别. 这项干预涉及多学科的团队,并导致医院单位的实质性改善.
科学领域:
- 提高医疗保健的质量 改善医疗保健的质量
- 儿童患者的安全性
- 营养评估 营养评估
背景情况:
- 准确的人类测量测量 (体重,身高,BMI) 对于识别患有营养不良风险的儿科患者至关重要.
- 这些关键指标的干预前记录率在住院24小时内低于50%.
研究的目的:
- 实施质量改进倡议,以提高人体识别文档记录率.
- 针对儿科住院患者,目标在24小时内实现80%的记录率.
主要方法:
- 在手术,心脏和ICU试点单位建立了多学科的冠军团队.
- 从2016年5月到2018年6月,反复测试了解决文档障碍的干预措施.
- 使用统计过程控制进行每月评估和千二测试进行干预前后比较.
主要成果:
- 在所有试点单位都观察到人类识别记录率的显著增加 (例如,手术中的BMI从11%增加到89%).
- 全医院的BMI记录从42%提高到70%.
- 在试点单位中,鉴定中度/严重营养不良的风险增加了三倍,因为文件得到了改进.
结论:
- 多学科团队有效地提高了招生时的人类识别文档率.
- 在26个月内,手术和心脏病单位实现了80%的目标.
- 改进的文档显著改善了患有营养不良风险的儿科患者的识别.
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