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在住院儿科单位进行常规的临床后事件汇报
Jenny Bohorquez1, Amee D Patel1, Rachel Borders2
1Department of Pediatrics, University of Texas Southwestern Medical Center, Dallas, Texas.
Hospital pediatrics
|July 10, 2024
概括
在儿科医院医学 (PHM) 中,在临床事件后实施标准化汇报会提高了团队的表现. 该计划的完成率为66%,突出显示了儿童护理机构需要进一步优化.
科学领域:
- 医疗保健管理的管理
- 患者安全 患者安全
- 儿科医学 儿科医学
背景情况:
- 汇报对于提高团队绩效和安全文化至关重要.
- 关于儿科医院医学 (PHM) 的临床后事件汇报计划的数据有限.
- 在PHM中存在对标准化汇报流程的需求.
研究的目的:
- 在PHM服务线上发生临床事件后,制定和实施标准化,多学科的解答过程.
- 在12个月内实现75%的汇报完成率.
- 保持汇报时间在10分钟以下.
主要方法:
- 在一家高等儿童医院,与关键利益相关者一起制定了一种标准化的汇报过程.
- 用关键驱动图和计划-做-研究-行动周期来改进流程.
- 项目团队每月对数据进行审查,以确保持续监测.
主要成果:
- 在20个月内,报告完成率的中位数为66%,平均持续时间为7分钟.
- 61%的汇报包括所有核心团队成员;主治医生最常缺席.
- 发现的障碍包括服务类型,白天时间和班次变化,导致过程调整.
结论:
- 多学科,临床后事件汇报在住院儿科环境中成功实施.
- 未来的努力将集中在将该过程扩展到非PHM单位,并评估其对团队表现和临床结果的影响.
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