改善青少年的性历史记录 青少年的性历史记录
Anne Kaufman1, Tiranun Rungvivatjarus1, Heather Pierce1
1Department of Pediatrics, University of California San Diego and Rady Children's Hospital, San Diego, California.
Hospital pediatrics
|May 21, 2024
概括
实施一个保密的共享青少年性史 (SexHx) 部分,改善了青少年健康信息的记录和共享. 这项质量改进计划成功地增加了青少年患者的SexHx部分使用和历史和物理 (H&P) 笔记共享.
科学领域:
- 青少年健康 青少年健康
- 医疗信息学 医疗信息学
- 提高质量 提高质量
背景情况:
- 青少年获得性健康护理至关重要,但缺乏与青少年及其照顾者分享电子健康信息的标准.
- "21世纪治疗法"要求患者获取健康信息,这对敏感的青少年数据构成了挑战.
- 观察到青少年性史 (SexHx) 和笔记分享实践的专用部分的使用变化.
研究的目的:
- 在青少年患者 (12-17岁) 中,将SexHx部分的利用率提高10%.
- 将历史和身体 (H&P) 笔记与青少年患者的共享提高5%.
- 解决SexHx文档和青少年笔记共享实践在儿科医院医疗服务中的变化.
主要方法:
- 采用质量改进方法,包括障碍分析.
- 实施的干预措施,如教育,培训和电子健康记录临床决策支持.
- 使用统计过程控制图表来监测干预影响.
主要成果:
- SexHx部分的性活动文档从基线的56%增加到72%.
- 与青少年患者分享H&P笔记的比例从基线的76%上升到干预期间的81%.
- 干预导致了SexHx部分和H&P笔记分享的增加和持续使用.
结论:
- 机密的共享青少年SexHx部分是一个有效的工具,可以谨慎地捕捉敏感的患者病史.
- 这项质量改进计划成功提高了青少年的SexHx部分使用率和H&P笔记共享率.
- 这些发现表明,青少年患者获得健康信息的可持续改善.
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