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在多个地点的儿科肺部诊所网络中提高喘控制测试完成率:质量改善倡议
Jenny H Lin1,2, Elena Huang3, Bridget Rauch3
1Division of Pulmonary and Sleep Medicine, The Children's Hospital of Philadelphia, Philadelphia, PA, USA.
概括
通过电子方式发送喘控制测试 (ACT) 提高了儿童喘诊所的完成率. 这项质量改进倡议提高了患者的护理,而不会扰乱诊所的工作流.
科学领域:
- 儿科肺病学 儿科肺病学
- 质量改善倡议 质量改善倡议
- 喘管理 喘管理
背景情况:
- 评估喘控制对于管理儿科喘患者至关重要.
- 像喘控制测试 (ACT) 这样的验证问卷是关键工具.
- 不一致的ACT完成率阻碍了有效的门诊管理.
研究的目的:
- 增加患有喘的儿童完成ACT的门诊诊所比例.
- 在多个地点的儿科肺部诊所网络中实施ACT完成的系统方法.
主要方法:
- 开发了一种干预措施,在访问之前通过患者门户网站电子发送ACT.
- 该策略在一家诊所进行试点,并扩展到其他五家诊所.
- 统计过程控制图表追踪了每月平均ACT完成率.
主要成果:
- 在试点诊所中,ACT完成率在3个月内从27%上升到72%,持续超过22个月.
- 在所有诊所中,干预后完成率从57%增加到76%.
- 干预不需要额外的诊所工作人员时间或扰乱诊所流动.
结论:
- 向患者和护理人员电子交付ACT显著提高了完成率.
- 这种方法导致了大型儿科肺网络的快速和持续改善.
- 该干预提供了一个可扩展的解决方案,以提高喘控制评估.
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