在儿科出院后护理中,从COVID-19大流行中吸取教训
Kathryn Mullan1, Ngozi Oketah2, Nicola Davey3
1Royal Belfast Hospital for Sick Children, Belfast, UK kathryn.mullan@belfasttrust.hscni.net.
BMJ open quality
|February 22, 2024
概括
实行由实习生领导的门诊诊所改善了退院后的儿科护理连续性. 有针对性的干预措施减少了50%的沟通问题和诊所缺勤,提高了患者安全和服务效率.
科学领域:
- 儿科医疗保健 儿科医疗保健
- 提高医学的质量 改善医学的质量
- 医疗保健管理的管理
背景情况:
- 由于COVID-19大流行,门诊儿科服务需要迅速改变,以尽量减少感染风险.
- 为医院出院后的护理连续性建立了一个由实习生领导的诊所,作为病房护理人员的替代品,并减少了顾问领导的诊所压力.
- 最初的实施在推,预订和后续流程中面临着重大沟通挑战.
研究的目的:
- 减少由实习生领导的儿科门诊服务中诊所缺席率.
- 通过所有利益相关方之间的有效沟通,确保及时进行门诊检查.
- 提高退院后儿科护理的整体效率和患者体验.
主要方法:
- 采用质量改进方法来理解和定义沟通问题.
- 与服务用户的商确定了四个关键的沟通标准:指示,主导顾问,患者出席和结果信的提供.
- 在6个月的时间里,使用计划-做-研究-行动周期测试了五项干预措施,并根据四个标准衡量了绩效.
主要成果:
- 观察到流程的改进,导致了患者和服务层面的重大变化.
- 绩效从基线中位数的1增加到每位患者至少满足了四个沟通标准中的三个.
- 诊所缺勤率降低了50%,由于及时审查,几名患者经历了管理变化.
结论:
- 有针对性的干预措施有效地解决了医院出院后儿科护理中的沟通故障.
- 开发的服务更安全,更有效,并改善了儿童和青少年的护理连续性.
- 持续的反和关注患者体验对于未来的服务开发和以患者为中心的结果至关重要.
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