在家庭医疗保健中实施基于证据的,内容验证的,标准化的支持表面算法工具:质量改进项目
Monica Timko-Progar1,2,3, Jerri Drain1,2,3, Kimberly Stovall-Patton1,2,3
1Monica Timko-Progar, BSN, RN, ET, CWS®, FACCWS, Amedisys Home Health and Hospice Care, Washington, Pennsylvania.
概括
一个质量改进项目为防止压力损伤 (PI) 标准化了支面的选择. 实施电子病历 (EMR) 算法增加了临床医生的信心,减少了可避免的PI事件.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 临床决策支持系统 临床决策支持系统
- 伤口预防和管理
背景情况:
- 压力损伤 (PIs) 在医疗保健环境中构成了重大挑战.
- 标准化协议对于有效的PI预防和治疗至关重要.
- 临床医生在选择适当的支表面方面的专业知识可能会有所不同.
研究的目的:
- 开发和实施标准化,可重复和用户友好的选择支面的过程.
- 增强临床医生的知识和舒适性,为PI预防和治疗推支面.
- 将临床决策支持工具集成到电子病历 (EMR) 中,以简化选择.
主要方法:
- 创伤,骨干切割和节制护士协会支持表面算法被采用.
- 该算法被纳入该机构的EMR,作为一个交互式工具.
- 该工具旨在帮助没有专业PI专业知识的临床医生.
主要成果:
- 临床医生报告说,在选择适当的支表面方面,知识和舒适度增加了.
- 实施导致了可能可以避免的压力损伤事件的减少.
- 基准数据显示,医疗保险和医疗补助服务中心的质量结果指标有所改善.
结论:
- 支表面算法有效地帮助临床医生做出适当的选择.
- 该项目标准化了临床医生的实践,并减少了可以预防的压力损伤的发生率.
- 该算法现在是EMR内的临床评估的完全集成和标准化组成部分.
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