提高质量:瘤学中的治疗升级计划
Hiten Arun Chauhan1, Rehaan Adat2, Harieta Garofide3
1Oncology Department, Northampton General Hospital NHS Trust, Northampton, UK hiten.chauhan1@nhs.net.
BMJ open quality
|April 18, 2024
概括
治疗升级计划 (TEP) 通过确保及时沟通来改善患者护理. 一个质量改进项目在两年内将瘤学TEP完成率从22%提高到90%以上.
科学领域:
- 医院 医院 医疗 医疗 医疗 医疗
- 在瘤学瘤学.
- 提高质量 提高质量
背景情况:
- 治疗升级计划 (TEP) 对于指导患者护理至关重要,特别是当初级医生无法使用时.
- 瘤服务特别受益于TEP,以提供知情的患者管理.
- 一项基线审计显示,在瘤学入院的72小时内,TEP完成率低于最佳 (22%) .
研究的目的:
- 显著和可持续地改善瘤病房患者及时填写TEP表格的情况.
- 增强医疗和护理人员对TEP完成协议的理解和遵守.
主要方法:
- 为医疗和护理团队实施关于TEP的重要性的教育倡议.
- 将TEP的完成纳入多学科团队讨论中.
- 指定TEP完成为招收注册人员的核心责任.
主要成果:
- 到2022年2月,TEP完成率增加到83%.
- 利率在2023年2月保持在80%以上,到2023年5月达到91%.
- 由于员工变更而导致的业绩下降,通过再教育和每日轮整合有效地解决了问题.
结论:
- 一个结构化的质量改进项目成功提高了瘤学中TEP完成率.
- 通过持续教育和明确的角色定义,实现了持续高绩效.
- 及时完成TEP是可以实现的,并且对于有效的医院医学和瘤患者护理至关重要.
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