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减少医疗行为部门的身体限制使用
Evan M Dalton1, Kathleen Raymond2, Brian Kovacs2
1Department of Pediatrics, Baylor College of Medicine, Texas Children's Hospital, Houston, Texas.
Pediatrics
|February 28, 2024
概括
每天的多学科聚会在儿科行为病房显著减少了身体限制事件. 这项质量改进倡议通过减少制频率和持续时间,提高了患者的安全性.
科学领域:
- 儿科行为健康 儿科行为健康
- 提高医疗保健的质量 改善医疗保健的质量
- 患者安全 患者安全
背景情况:
- 患有行为健康状况的儿童在住院期间经常经历动荡.
- 身体克制是激动患者的高风险干预措施,可能会伤害患者和工作人员.
- 医疗行为单位 (MBU) 试图减少对身体束的依赖.
研究的目的:
- 在12个月内,每100个MBU患者日的每周身体限制事件率从基线14.0降低到10以下.
- 为了确保减少患者人口统计学,如种族,种族或语言的独立.
主要方法:
- 一个多学科的团队使用了质量改进方法.
- 实施了由负责行为健康临床医生领导的每日降级聚会,以进行个性化患者规划.
- 追踪每周每100个MBU患者日的身体克制事件,克制时间和员工受伤情况.
主要成果:
- 到2022年12月,每100个MBU患者日的基线速率为14.0个身体限制事件,降至4.1个.
- 每周体力约束事件的持续时间从112分钟减少到67分钟.
- 在干预期间,没有观察到员工受伤的增加.
结论:
- 每天的多学科聚会有效地促进了降级计划.
- 这些拥挤安全地显著减少了MBU中物理约束事件的频率和持续时间.
- 该干预表明了成功的质量改善策略,用于管理儿科环境中的行为健康危机.
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