利用新的临床决策支持来改善新生儿重症监护病房的优先语言文档
Osvaldo Mercado1,2, Alex Ruan1, Bolu Oluwalade1
1Division of Neonatology, Department of Pediatrics, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, United States.
Applied clinical informatics
|May 24, 2024
概括
改善新生儿重症监护室 (NICU) 患者偏好语言的文档,提高了沟通和公平的护理. 临床决策支持 (CDS) 工具成功地将首选语言文档率提高到90%以上.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 患者沟通 患者沟通
- 健康 公平 卫生 公平
背景情况:
- 有效的患者-提供者沟通需要认识到不同的背景和语言偏好.
- 在电子健康记录中准确地记录首选语言对于公平的护理至关重要.
- 新生儿重症监护室 (NICU) 的首选语言记录率往往低于最佳水平,阻碍了有效的沟通.
研究的目的:
- 通过改善卫生保健改进研究所的改进模型,提高NICU中首选语言文档的速度.
- 在六个月内将首选语言文档从基线的74%增加到90%以上.
主要方法:
- 一个多学科团队实施了一个新的临床决策支持 (CDS) 工具,集成到电子健康记录中.
- 该CDS工具提供了指导,用于记录患者喜欢的沟通语言.
- 主要结果是首选语言文档的速度;过程措施包括CDS工具合规性.
主要成果:
- 首选语言文档在六个月内从74%增加到92%,维持在96%.
- 随访评估证实,在一组患者中,记录的语言偏好具有100%的准确性.
- 在整个项目中,CDS工具的总体遵守率保持在85%的高水平.
结论:
- 一个使用CDS工具的质量改进计划显著和准确地改善了NICU中首选语言的文档.
- 持续高的文件记录率为非英语患者提供了更公平的护理.
- 未来的努力将集中在增强口译服务和提供多语言的核准说明上.
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