在儿科急诊室标准化药物调和
Sarika Sheth1,2, Mario Bialostozky1,2, Kathy Hollenbach1,2
1Rady Children's Hospital San Diego, San Diego, California.
Pediatrics
|January 26, 2024
概括
出院时的药物调和在儿科急诊 (ED) 和急诊 (UC) 设置中显著改善. 这一举措提高了在护理过渡期间的患者安全.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 患者安全 患者安全
- 药物管理 药物管理
背景情况:
- 药物错误经常发生在护理过渡期间,如急诊室 (ED) 和紧急护理 (UC) 退院.
- 联合委员会强调药物调和是关键的患者安全实践.
- 这项研究旨在提高儿科ED和UC出院的药物调和率.
研究的目的:
- 增加从儿科ED和四个UC出院时完成药物调整的患者的百分比.
- 目标是在12个月内将完成率从25%提高到75%.
主要方法:
- 利益相关者参与包括ED/UC医生,护士,信息学和质量管理.
- 使用过程映射,石川图和电子健康记录调整 (住院工作流,临床决策支持).
- 教育干预包括即时培训,演讲,视频教程和医生反,使用道图.
主要成果:
- 在UC中,在4个月内,家庭药物护理审查从91%上升到98%,药物调和从35%上升到82%.
- 在ED中,家庭药物护理审查在8个月内从2%提高到83%,药物调和在18个月内达到64%.
- 统计过程控制分析了这些关键绩效指标随时间变化的变化.
结论:
- 实施的干预措施成功地增加了从UC和ED设置中出院时完成药物调整的患者比例.
- 这项研究表明,在重症监护过渡期间提高药物安全性的有效策略.
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