在儿科急诊室改善病管理
Leman Akcan Yildiz1, Halise Akca1,2, Funda Kurt1,3
1Pediatric Emergency Clinic, Ankara Bilkent City Hospital, Ankara, Türkiye.
Postgraduate medicine
|May 28, 2024
概括
这项质量改善计划减少了患有的儿童不必要的 nebulized epinephrine (NE) 和X射线. 虽然护理得到改善,但需要进一步减少NE,抗生素和X射线.
科学领域:
- 儿科急救医学 儿科急救医学
- 提高质量 提高科学 提高质量
- 呼吸系统疾病管理 呼吸系统疾病管理
背景情况:
- 过度检测和过度治疗在儿童急诊室 (PED) 普遍存在,用于诊断患有的儿童.
- 当前的做法往往导致不必要的干预,增加医疗保健成本和潜在的患者伤害.
研究的目的:
- 提高患有的儿科患者的护理质量.
- 为了显著减少在轻度的儿童中使用雾化上腺素 (NE) 和X射线.
主要方法:
- 实施了一项质量改善 (QI) 倡议,包括为儿科住院医生提供关于病管理的教育演讲.
- 关键绩效指标集中在7个月内将NE使用和X射线频率减少50%.
主要成果:
- 雾化上腺素 (NE) 给轻度的治疗率从80.2%降至36.3%.
- 接受X射线照射的儿童比例从37.4%下降到17.1%.
- 观察到德克萨米他使用的显著增加和抗生素,实验室测试和停留时间的减少.
结论:
- QI干预成功降低了NE,抗生素和X射线率,而不会增加患者的再访.
- 尽管有所改善,但不必要的NE,抗生素和X射线利用率仍然很高,这表明需要继续优化.
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