在城市三级保健儿童医院实施住院社会需求查
Fahmida Islam1,2, Kevin P Fiori3,4, Michael L Rinke1
1Department of Pediatrics, Children's Hospital at Montefiore, Montefiore Medical Center.
Hospital pediatrics
|May 14, 2024
概括
在住院儿童中实施标准化社会需求查,使用质量改进方法将查率从20%提高到51%. 进一步的工作将集中在可持续性和更广泛的实施上.
科学领域:
- 儿科健康 儿科健康
- 提高质量 提高科学 提高质量
- 健康的社会决定因素
背景情况:
- 美国儿科学会倡导在儿科护理中选未满足的社会需求.
- 越来越多的文献支持住院患者对社会需求的查.
- 在住院儿童中对社会需求查的标准化实施是积极发展的领域.
研究的目的:
- 通过使用质量改进 (QI) 方法,为住院儿科患者实施标准化的社会需求查.
- 增加查的儿科住院患者的百分比.
主要方法:
- 利用改进模型与计划-做-研究-行动周期用于代干预开发.
- 干预措施包括结构化问卷,标准化工作流程,EHR修改和员工教育.
- 主要结果:被查的出院患者的百分比;定义为已填写的EHR问卷或社会工作评估.
主要成果:
- 在干预期间,平均每月查率从基线的20%增加到51%.
- 统计过程控制图表显示了查完成,电子健康记录文件和社会工作咨询的特殊原因变化.
- QI方法在提高查率方面表现出有效性.
结论:
- 质量改进方法有助于在儿科医院环境中实施社会需求查.
- 未来的努力应优先考虑可持续性和选实践的扩大.
- 跨学科团队的参与对于维持和向更大的儿科住院患者群体传播查干预措施至关重要.
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