越来越多的提供者在门诊环境中使用发作行动计划
Rae Leonor Gumayan1, William Parker2, Muhammed Talha Gunduz3
1Zickler Family Prenatal Pediatrics Institute, Children's National Hospital, Washington, District of Columbia.
实施发作行动计划 (SAP) 显著改善了神经病学提供者之间的使用. 这项质量改进倡议还导致了患者急诊室访问的减少.
科学领域:
- 神经学 神经学
- 提高质量 提高质量
- 患者安全 患者安全
背景情况:
- 发作行动计划 (SAP) 对于发作期间的护理人员指导至关重要.
- 在指南中推个性化SAP.
- 在儿科三级中心实施SAP需要集中质量改进工作.
研究的目的:
- 在儿科三级护理中心内提高标准化发作行动计划 (SAP) 的实施率.
- 扩大SAP的使用范围,从专家到所有神经病学提供者.
- 评估SAP使用改善对紧急服务部门 (ED) 访问的影响.
主要方法:
- 利用计划-做-研究-行动 (PDSA) 循环进行流程改进.
- 每月使用控制图表监控SAP使用率.
- 实施电子医疗记录提醒和标准化诊所工作流程.
- 对急诊室 (ED) 访问趋势进行了二次分析.
主要成果:
- 在提供者中,SAP的使用率从39%增加到92%以上.
- 在一般神经病学提供者中,SAP的使用率从43%上升到93%以上.
- 对于已确诊的患者来说,急诊室的访问量从每1000人中的10.2人下降到7.5人.
结论:
- 质量改进举措成功增强了在神经病学门诊机构中标准化的SAP利用率.
- 标准化的SAP简化了医疗保健系统的患者和提供者导航.
- 增加SAP的使用可能有助于减少不必要的急诊室访问.
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