减少非常快速的紧急转移到儿科重症监护病房
Stacy E Kuehn1, Jennifer E Melvin1, Pamela S Creech1
1From the Center for Clinical Excellence Columbus, Nationwide Children's Hospital, Ohio.
Pediatric quality & safety
|April 4, 2024
概括
改善情境意识的干预措施显著减少了儿科患者的非常快速紧急转移 (VRET),将事件间的时间从10天增加到400多天.
科学领域:
- 儿科医院医学 儿科医院医学
- 质量改进科学 质量改进科学
- 患者的安全性 患者安全性
背景情况:
- 紧急转移与更高的儿科住院患者死亡率有关.
- 在医疗外科病房入院四小时内进行非常快速的紧急转移 (VRET) 是一个关键的安全问题.
- 提高系统层面的情境意识对于患者安全至关重要.
研究的目的:
- 减少儿科患者的非常快速紧急转移 (VRET).
- 在一年内,将VRET事件之间的间隔从每10天增加到每25天.
- 提高临床恶化的早期识别和沟通.
主要方法:
- 使用了改善模型框架.
- 成立了一个跨学科的团队,以针对VRET的关键驱动因素.
- 专注于改善招生过程,败血症识别,沟通和情境意识.
主要成果:
- 在6个月内实现了VRET持续减少,从每10天一次的基线改善到每79天一次.
- 进一步提高了间隔到177天,最终达到VRET事件之间468天的峰值.
- 在三年内表现出持续改善.
结论:
- 针对多个入学来源,并加强早期识别和沟通,有效地减少了VRET.
- 干预措施通过几乎消除VRET,显著改善了患者的安全.
- 系统层面的情境意识改进对于减少儿科护理中的不良事件至关重要.
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