提高家庭护理中的代码状态文档准确度
1Joanne Benedict, MSN, RN, CHPN , is the Supervisor for the Home-Based Supportive Care Program at NYU Langone Home Health Care, Garden City New York.
Home healthcare now
|March 4, 2024
概括
家庭护理临床医生显著改善了预先护理规划文件. 教育和提醒确保在护理过渡期间100%遵守代码状态命令.
科学领域:
- 抚慰性护理是一种缓解性护理.
- 改善医疗保健质量 改善医疗保健质量
- 护理教育 护理教育
背景情况:
- 提前护理规划 (ACP) 讨论对于患有生命限制疾病的患者至关重要,需要专业技能.
- 预先护理规划文件 (例如,医疗保健代理,MOLST,POLST) 对于护理连续性至关重要,但在护理过渡期间经常丢失.
- 家庭护理临床医生必须确保所有提供者对患者代码状态和护理目标的认识.
研究的目的:
- 指导家庭护理护士在家庭护理开始时审查和重申代码状态命令和预先护理文件.
- 在护理过渡期间,提高代码状态文档的一致性和准确性.
- 通过有效的预先护理规划,改善患者护理目标的协调性.
主要方法:
- 一个质量改善项目涉及三个干预措施:代码状态审查的提醒,简短的教育聚集/电子邮件和初级息护理教育课程.
- 专注于赋予家庭护理临床医生为ACP提供必要的技能和知识.
- 在10个月的时间里,系统地实施教育和提醒策略.
主要成果:
- 遵守审查和重申代码状态命令和预先护理文档的遵守情况有了显著的改善.
- 代码状态文件的合规性从最初的8%增加到100%在10个月内.
- 这些干预措施成功地解决了医院和家庭环境之间的记录连续性的差距.
结论:
- 有针对性的教育和持续的提醒对于改善家庭护理患者的预先护理计划文档是有效的.
- 加强家庭护理临床医师在预先护理规划中的作用,可以支持患者的目标,并改善护理过渡.
- 质量改善举措可以大大提高医疗保健机构对关键文档标准的遵守.
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