用质量改进框架改善急诊室释放的儿科患儿过敏症患者的护理
Chisom Agbim1,2, Marci Fornari3,4, Emily Willner3,4
1From the Emergency Department, Children's Hospital Colorado, Aurora, CO.
Pediatric quality & safety
|April 8, 2024
概括
通过加强出院规划,包括行动计划和过敏转诊,改善了儿科过敏治疗. 这项质量改善计划解决了严重过敏反应的儿童急诊室护理的变化.
科学领域:
- 儿科急救医学 儿科急救医学
- 提高质量 提高科学 提高质量
- 过敏和免疫学 过敏和免疫学
背景情况:
- 过敏反应需要及时识别和治疗,但儿科患者经常接受不完整的急诊部 (ED) 退院护理.
- 我们的机构观察到儿科过敏反应出院计划的广泛变化.
研究的目的:
- 通过使用质量改进框架,改善诊断为过敏反应的儿科患者的ED出院护理.
- 具体目标包括增加过敏反应行动计划的分发和过敏诊所的转诊.
主要方法:
- 干预涉及电子健康记录 (EHR) 系统修订,跨学科合作伙伴关系和提供者教育.
- 结果指标侧重于接受过敏反应行动计划和过敏诊所随访率.
- 作为平衡措施,监测急诊室停留时间的长度.
主要成果:
- 过敏反应行动计划的分配从0%增加到34%.
- 过敏诊所转诊率从61%提高到82%.
- 平均ED停留时间保持稳定,为347分钟.
结论:
- 修订出院说明和实施教育干预措施显著改善了过敏反应出院护理.
- 未来的努力将利用EHR修改来提高其他临床环境中的护理.
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