冲刺团队方法带来了跳质量指标的快速改善
Ghazala Q Sharieff, Craig Uejo1
1Scripps Health, San Diego, California.
概括
多学科冲刺团队通过实施基于证据的检查清单,有效地减少了医院获得的感染和再入院. 这种方法标准化了护理,提高了患者的安全性和各种临床领域的质量结果.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 患者安全研究 患者安全研究
- 感染控制 感染控制
背景情况:
- 医疗保健机构的持续目标是提高患者安全和护理质量.
- 减少医院获得的条件和再入院对于满足监管标准 (例如,医疗保险和医疗补助服务中心) 和提高调查分数 (例如,跳医院调查) 至关重要.
研究的目的:
- 实施和评估多学科冲刺团队在减少特定的医院感染和再入院的有效性.
- 开发和使用基于证据的检查清单作为标准化护理和提高目标领域的绩效的工具.
主要方法:
- 组建多学科冲刺团队,快速制定改善护理的检查清单.
- 焦点领域包括导管相关的尿路感染 (CAUTIs),中线相关的血液感染 (CLABSIs),Clostridioides difficile (C. 不同的. 不同的. ),抗甲林金色葡萄球菌 (MRSA),以及心力衰竭和COPD的再入院.
- 检查清单作为教学工具和案例审查指南,以确保标准工作的一致应用.
主要成果:
- 在CLABSIs,CAUTIs,C.中观察到标准化感染比率 (SIR) 的显著降低. 不同,和MRSA超过两年.
- 再接收减少小组通过遵守检查清单和进行病例审查也取得了积极的结果.
- 具体的SIR降低:CLABSI从1.141降至0.687,CAUTI从1.391降至0.720,C. diff. 从0.422到0.260,以及MRSA从0.537到0.245 (第二年).
结论:
- 多学科的冲刺团队可以推动医疗保健环境的快速,安全和有效的变化.
- 冲刺团队开发的基于证据的检查清单对于标准化流程和改善感染控制和再接收预防的结果是有价值的.
- 这种方法提供了一个可扩展的模型,用于提高住院护理质量和患者安全.
相关概念视频
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01:19Quality Assurance
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