在重症监护室整合息治疗查:质量改进项目
Traci N Phillips1, Denise K Gormley2, Sherry Donaworth3
1Traci N. Phillips is a board-certified adult acute care nurse practitioner and a member of the pulmonary and critical care service at Bon Secours Mercy Health Anderson, Cincinnati, Ohio.
一种新的息护理查工具发现,比传统方法 (11.6%) 更多的ICU患者需要护理 (22%). 这有助于改善重症患者早期获得息护理服务.
科学领域:
- 关键护理医学 关键护理医学
- 抚慰性护理是一项非常重要的护理.
- 改善医疗保健的质量.
背景情况:
- 重症监护室 (ICU) 患者面临高死亡率和经常性住院风险.
- 延迟获得息护理可能导致未解决的症状和可预防的入院.
- 目前还没有一种标准化的方法来评估ICU中的息护理需求.
研究的目的:
- 为加强ICU患者的息护理服务.
- 提高息护理咨询的效率和覆盖范围.
- 解决在重症监护机构更好的息护理流程所确定的需求.
主要方法:
- 一个质量改进项目使用了"计划-做-研究-行动"模式.
- 为护士开发了一种具有临床指标的新型息护理查工具.
- 对于具有阳性查分数的患者,实施了用于息护理咨询的自动转诊.
主要成果:
- 查工具确定了59名 (22%) 需要息治疗的患者,远远超过传统方法 (31,11.6%).
- 没有该工具的患者经历了平均6天的延迟,直到咨询.
- 通过选提前识别提高了咨询效率.
结论:
- 息护理查过程有助于早期识别患者.
- 这将提高咨询效率,并最大限度地提高息护理服务的好处.
- 查方法可以降低重症监护资源的利用率,并降低再接收率.
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