将患者的信念和价值观纳入抗凝药的决策:一个社区主导的多周期质量改进项目
Natalie Smith1, Leonie Williams2, Sam Harding1
1Southmead Hospital, Bristol, UK.
Future healthcare journal
|January 1, 2024
概括
通过提高认识和知识,医疗保健专业人员改善了患者对低分子量肝素 (LMWH) 的同意. 简单的干预措施显著提高了对这种来自猪的药物的适当同意率.
科学领域:
- 医学研究 医学研究
- 质量改进科学 质量改进科学
- 患者安全 患者安全
背景情况:
- 用于静脉血栓塞栓症预防的低分子量肝素 (LMWH) 是来自动物产品的.
- 一项审计显示,95%的医疗保健专业人员在开处方LMWH时没有考虑患者的宗教或饮食偏好.
- 利益相关者参与确定项目的目的目的是解决同意问题.
研究的目的:
- 改进获得LMWH处方患者同意的过程.
- 提高医疗保健专业人员对LMWH患者偏好的认识和知识.
- 实施和评估旨在加强LMWH知情同意的干预措施.
主要方法:
- 在医疗单位的两个周期中,采用了质量改进方法.
- 干预措施包括患者信息 (书面/视听),员工电子学习,切换政策和医生同意提示.
- 数据是通过审计和患者/工作人员反收集的.
主要成果:
- 适当同意的LMWH处方比例从基线时的不到5%增加到干预后的80%以上.
- 患者和工作人员对干预措施的反是积极的.
- 患者和工作人员对LMWH的非动物衍生替代品有很大的需求.
结论:
- 简单的干预措施可以有效地提高对LMWH的适当患者同意.
- 提高工作人员和患者的认识和知识是改善同意过程的关键.
- 在LMWH处方中考虑患者的偏好对于道德和有效的护理至关重要.
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