在海地产前护理期间加强健康信息系统:持续质量改进研究
Meredith Casella Jean-Baptiste1, Thamar Monide Vital Julmiste1, Ellen Ball2
1Hôpital Universitaire de Mirebalais, Sante Fanm, Mirebalais, Haiti.
JMIR formative research
|June 14, 2024
概括
改善海地农村产前护理的电子健康记录 (EHR) 文档,显著提高了数据质量. 这项质量改善计划通过专注的护理领导和员工参与,提高了患者护理报告和结果.
科学领域:
- 医疗信息学 医疗信息学
- 提高质量 提高科学 提高质量
- 全球健康 全球健康
背景情况:
- 海地农村的"旅程到9+" (J9) 计划旨在减少孕产妇和新生儿的发病率和死亡率.
- 高质量的数据系统对于J9计划的有效性至关重要.
- 最初的电子医疗记录 (EMR) 数据显示,只有18%的产前检查被电子记录.
研究的目的:
- 在J9计划中,将门诊产前护理的电子文档从18%提高到85%.
- 在不断发展的医疗保健系统中,分享改善电子数据收集和从纸质到电子记录的经验.
主要方法:
- 在米雷巴莱大学医院实施了持续质量改进 (CQI) 战略.
- 使用的工具包括根本原因分析 (石川和帕雷托图),基线测量和计划-做-研究-行动周期.
- 专注于改善J9产前访问的EMR数据收集.
主要成果:
- 在2020年11月,产前访问的基线电子文档为18%.
- 经过十个月的CQI策略,平均有89%的产前访问在护理地点以电子方式记录.
- 在EMR数据的完整性和一致性方面取得了显著的改进.
结论:
- 该项目为在发展医疗保健系统中从纸张到电子文档的过渡提供了有价值的见解.
- 强大的护理领导力和积极的员工对于成功实施EMR和改善数据质量至关重要.
- 让护士成为EMR和CQI过程中的关键变革推动者,可以确保可持续的成功和改善患者的治疗结果.
关键词:
这是PDSA的PDSA.计划-做-研究-行动数据收集数据收集数据收集电子数据 电子数据 电子数据医疗信息学健康信息学母亲的母亲的母亲.孕产妇健康 孕产妇健康新生儿新生儿新生儿新生儿护理 护理 护理护理领导力 护理领导力护理人员的护理工作人员.门诊患者的治疗方式在产前产前产前.质量改善 质量改善更多相关视频
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