概括
在质量改进项目中,加强培训使围产期物质使用查率从14.4%提高到44.6%. 然而,没有实现普遍查,长期可持续性仍然不确定.
科学领域:
- 围产期医疗保健 围产期卫生保健
- 药物使用查.
- 提高产科和妇科的质量.
背景情况:
- 在怀孕期间对物质使用的普遍查对于早期识别和干预至关重要.
- 现有的做法缺乏标准化,验证的查工具,用于围产期物质使用.
- 酒精/物质使用的5P查和查,简短干预和转诊治疗 (SBIRT) 过程被确定为潜在的解决方案.
研究的目的:
- 在临床实践中实施5Ps屏幕和SBIRT过程.
- 评估加强培训对围产期提供者遵守普遍查酒精和物质使用的影响.
- 评估将标准化查方案整合到社区产科和妇科诊所的可行性和有效性.
主要方法:
- 进行了一项使用干预前后设计的质量改进项目.
- 在三家诊所为围产期提供者提供了关于5Ps Screen和SBIRT过程的增强培训.
- 查率在干预前和干预后使用描述性统计和千平方测试进行了比较.
主要成果:
- 实施前查率为14.4%.
- 在干预后一个月,实施后查率显著增加至44.6% (p < .001).
- 尽管情况有所改善,但在研究期间没有实现普遍查.
结论:
- 加强的培训导致围产期物质使用查的短期改善.
- 这些改进的选率在项目的时间框架之外的可持续性是不确定的.
- 需要进一步的研究来解决普遍采用查的障碍,并检查长期结果.
关键词:
这就是SBIRT.医疗保健提供者 医疗保健提供者孕产妇健康 孕产妇健康新生儿健康新生儿健康周产阶段 周产阶段怀孕 怀孕 怀孕 怀孕 怀孕在产前产前产前.质量改善 质量改善药物使用障碍物使用障碍物.药物使用查查.更多相关视频
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