通过简化手术室到儿科重症监护室 (PATHQS) 的移交工具,提高了患者安全
D Subramonian1, G Krahn2, J Wlodarczak3
1Division of Biochemical Diseases, BC Children's Hospital, Department of Pediatrics, University of British Columbia, Vancouver, BC, Canada.
Frontiers in pediatrics
|February 8, 2024
概括
一个新的交付工具改善了手术室到儿科重症监护室 (PICU) 的过渡,将遵守率从69%提高到92%. 这项质量改善计划显著减少了不良事件,并提高了患者的安全性.
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
- 儿科重症监护室的儿童重症监护室
背景情况:
- 患者移交对于安全的护理过渡至关重要.
- 在一年内,在BCCH PICU报告了10个与OR和PICU交付相关的不良事件.
- 一个质量改进项目,旨在标准化和改进OR到PICU交付.
研究的目的:
- 将标准化OR到PICU交付流程的遵守率提高到100%.
- 在6个月内将与交付相关的不良事件减少50%.
主要方法:
- 使用了改进模型和计划-做-研究-行动 (PDSA) 周期.
- 对不良事件进行了根本原因分析.
- 根据确定的主题开发了一个简化的视觉交付工具"PATHQS".
主要成果:
- 6个月后,移交依守率从69%提高到92%,持续到3年.
- 零患者安全学习系统 (PSLS) 与6个月和12个月的交付相关的事件.
- 工作人员自我报告的安全问题在3年内从69%降至0%.
结论:
- 一个协作,简化交付工具提高OR到PICU交付质量和患者安全.
- PATHQS工具证明了适应性,并扩散到多个医院单位.
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