测量新生儿呼吸系统护理质量改善的实践偏好变化
Helen Healy1, Emily Whitesel2, Wenyang Mao2
1Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA. hhealy@bidmc.harvard.edu.
概括
新生儿重症监护室 (NICU) 在呼吸护理方面表现出不同的偏好,尤其是早产婴儿. 了解这些差异可以改善新生儿呼吸支的质量改善举措.
科学领域:
- 新生儿医学 新生儿医学
- 呼吸系统护理 呼吸系统护理
- 改善医疗保健质量 改善医疗保健质量
背景情况:
- 新生儿呼吸护理的实践变化可能会影响患者的治疗结果.
- 需要标准化工具来评估和比较这些机构之间的差异.
研究的目的:
- 测量和比较新生儿呼吸护理中的实践偏好变化.
- 评估新生儿重症监护室 (NICU) 内部和之间的差异.
- 在此评估中使用医疗保健工具 (NSIGHT) 中跨学科组的新生儿学调查.
主要方法:
- 在2019年至2021年期间,有11个NICU参加了NSIGHT调查.
- 净偏好是由平均响应决定的,并且通过标准偏差来确定协议.
- 使用热图可视化NICU和医疗保健学科之间的比较.
主要成果:
- 观察到压力支与强制通风和呼吸暂停的非侵入性正压通风的高度一致.
- 在极低出生体重的婴儿中,对于侵入性通风与CPAP存在显著的偏好差异.
- 最常见的偏好差异在新生儿科医生和护士之间.
结论:
- 新生儿呼吸护理的实践偏好变化取决于背景.
- 量化这些变化可以为变化管理策略提供信息.
- 测量偏好变化对于加强NICU质量改善工作至关重要.
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