使用气道捆绑来减少新生儿重症监护室的意外输出
Faith Kim1,2, Victoria Blancha Eckels3, Sandhya S Brachio3,4
1Division of Neonatology, Department of Pediatrics, NewYork- Presbyterian Morgan Stanley Children's Hospital, New York, NY, USA. fk2362@cumc.columbia.edu.
概括
实施气道捆绑在新生儿重症监护室显著减少了计划外的输出. 对捆绑的高度遵守导致了UE的持续下降,达到每100个呼吸机日的0.02UE.
科学领域:
- 新生儿重症监护室新生儿重症监护室
- 儿科心脏手术 儿科心脏手术
- 患者安全 患者安全
背景情况:
- 建立一个新的婴儿心脏新生儿重症监护室 (NICU).
- 最初的目标是确定基线计划外抽 (UE) 率.初始目标是确定基线计划外抽 (UE) 率.
- 目标是将UEE减少到每100个呼吸机日的0.5以下.
研究的目的:
- 确定基线未计划的输出管 (UE) 率在一个NICU.
- 实施有针对性的举措,以减少UE的频率.
- 实现持续的UE率低于0.5每100个呼吸机日.
主要方法:
- 使用了改善模型框架.
- 参与的关键利益相关者:新生儿提供者,护士和呼吸治疗师.
- 开发并实施了一套专注于安全,通信和教育的气道捆绑.
主要成果:
- 从2017年10月到2018年1月的基线UE率为0.92UE/100通风机日.
- 在高度合规的气道捆绑实施后,费率显著下降 (2021年春季从0.45到0.02UEs/100通风机天的中线变化).
- 实现了480天的持续时间,没有UE.
结论:
- 对结构化气道捆绑的高度遵守在NICU环境中显著降低了UE率.
- 这项干预措施导致了非计划性输出管的持续和实质性减少.
- 呼吸道捆绑证明在提高患者安全和减少不良事件方面是有效的.
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