从门诊提供者发送到急诊室的患者改善结果:一个接收器驱动的交换流程
Joint Commission journal on quality and patient safety
|February 17, 2024
概括
实施接收器驱动的交付 (RDH) 改善了患者信息传输和减少了急诊室 (ED) 等待时间. 这项质量改进计划提高了提供者的满意度,并减少了没有被看到的患者 (LWBS).
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
- 紧急医疗 紧急医疗
背景情况:
- 门诊患者转诊至急诊室 (ED) 是高级评估的常见情况.
- 在患者转换期间缺乏有效的沟通可能会损害ED护理的安全性和及时性.
- 接收器驱动的交付 (RDH) 是一个旨在确保全面信息共享的过程.
研究的目的:
- 提高对RDH流程的知识和满意度.
- 修改与RDH相关的提供者行为.
- 为了减少患者离开ED而没有被看到 (LWBS) 的比例.
主要方法:
- 一个以证据为基础的质量改进项目,以爱荷华州模型和实施框架为指导.
- 制定和实施标准化RDH流程,包括查,EHR审查和文档.
- 实施前后问卷数据的定量分析和LWBS率的统计过程控制图表.
主要成果:
- 医疗服务提供者对患者信息传递的满意度显著增加 (1.51至2.04,p=0.005).
- 在交付期间收到的信息的评级提高了 (2.12至2.52,p=0.04).
- 减少了6.2个百分点的LWBS患者比例 (p < 0.001).
结论:
- RDH,结合标准化选选,提高了信息质量在门诊到ED的过渡期间.
- 这种综合方法可以有效地降低LWBS率.
- 持续的有效性需要将RDH整合到常规的临床工作流程中.
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