综合改善心脏病学住院病人的转移:一个床位可用性触发的方法
Judson A Moore1,2, Lindsay F Eilers1,2, Amanda J Willis1,2
1From the Department of Pediatrics, Baylor College of Medicine.
Pediatric quality & safety
|April 8, 2024
概括
实施结构化的床边交接流程显著减少了患者转移时间,并在儿科心血管重症监护病房中改善了团队协作. 这项质量改善计划提高了效率和满意度,而不会影响患者的安全.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 患者安全 患者安全
- 临床交流 临床沟通
背景情况:
- 医院单位之间的患者转移存在固有的风险.
- 在交付期间进行有效的沟通至关重要,但由于竞争优先事项而具有挑战性.
- 多学科合作对于优化患者护理过渡至关重要.
研究的目的:
- 设计和实施一个结构化,多学科的床边交付流程.
- 增强儿科心血管重症监护室和心脏病床团队之间的沟通.
- 评估对效率,安全和团队文化的影响.
主要方法:
- 使用床位可用性的前性质量改进研究引发了床边交付过程.
- 主要目标:缩短从交付到单位转移的时间.
- 二级指标:安全事件,传输延迟,提供者时间,以及通过调查和采访的团队感知.
主要成果:
- 观察到传输延迟,不必要的交付和累计提供商交付时间的显著减少.
- 减少了一夜之间转移,对安全事件或反弹没有不利影响.
- 团队协作,满意度和感知到的交付效率的积极趋势.
结论:
- 合作,结构化和逐步的方法对于开发更安全的患者移交实践至关重要.
- 改善患者转移流程是可以实现的,即使在大量的设置.
- 综合测量是确保对患者和提供者环境产生积极影响的关键.
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