实施电子术后恶心和吐评估和最佳实践咨询工具,以改善患者护理
Samantha Pratt1, Josie Howard-Ruben
1Author Affiliations: Department of Adult Health and Gerontological Nursing, College of Nursing, Rush University, Chicago, Illinois.
实施标准化检查清单和最佳实践建议 (BPA) 进行手术前风险评估,显著降低了手术后恶心和吐 (PONV) 患者的发病率. 这种干预措施改善了患者护理,并减少了医院资源利用率.
科学领域:
- 麻醉学 麻醉学
- 手术患者护理手术患者护理
- 改善医疗保健质量 改善医疗保健质量
背景情况:
- 手术后恶心和吐 (PONV) 影响30%的手术患者,增加了住院时间和费用.
- PONV是患者不满和资源利用的重要驱动因素.
- 不充分的PONV评估和预防被确定为医院系统中的关键问题.
研究的目的:
- 评估标准化电子手术前评估检查清单和最佳实践咨询 (BPA) 在降低PONV率方面的有效性.
- 提高PONV风险评估和管理的一致性和质量.
- 将PONV的最佳实践纳入电子病历 (EMR).
主要方法:
- 在EMR中实施标准化的PONV手术前评估清单.
- 整合最佳实践咨询 (BPA) 以指导临床决策.
- 为麻醉提供者和麻醉后护理单位 (PACU) 护士提供关于PONV管理和EMR工具使用的培训.
主要成果:
- 经过PONV手术前评估的检查清单显示了高的采用率,提供者在90%以上的病例中遵守了建议.
- 在6个月的实施期间,PONV发病率显著下降,从56%降至43.6%.
- BPA有效指导临床实践,有助于改善PONV预防和管理.
结论:
- 标准化,电子的PONV手术前风险评估检查清单与BPA相结合,是降低PONV率的有效策略.
- 成功实施突显了EMR集成工具在改善患者治疗结果方面的潜力.
- 这种方法提供了一个可扩展的模型,用于增强外科手术期间的护理和减少PONV相关的并发症.
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