"让我们聊聊!" 提高急救部门工作人员对药物调和过程的满意度
Kurt Schwieters1,2, Richard Voigt1, Suzette McDonald1
1Mayo Clinic, Department of Emergency Medicine, Rochester, Minnesota.
The western journal of emergency medicine
|July 19, 2024
概括
通过多学科的团队方法改善急诊室的药物调和,提高了准确性和员工满意度. 该倡议解决了过程复杂性和角色明确性问题,从而获得更好的患者安全结果.
科学领域:
- 紧急医疗 紧急医疗
- 患者安全 患者安全
- 改善医疗保健质量 改善医疗保健质量
背景情况:
- 长时间的急诊室 (ED) 逗留需要准确的家庭药物验证,这个过程被称为药物调和.
- 药物调整的复杂性可能会对患者的安全产生负面影响,并导致工作人员的不满.
研究的目的:
- 为了提高准确性,及时性和员工满意度,与急诊部的药物调和过程相关.
- 解决现有的药物调和工作流程中发现的差距和挑战.
主要方法:
- 一个多学科团队实施了教育干预和"让我们聊天!" 为了协作药物调和,聚集在一起.
- 遵循了精益六西格玛快速循环流程改进 (定义-测量-分析-改进-控制) 和SQUIRE 2.0指南.
- 干预前后调查使用4点的利克尔特尺度评估员工满意度,在计划-做-研究-行动周期期间进行实时评估.
主要成果:
- 整体上,工作人员对药物调和的满意度在干预后有所改善.
- 在药物的准确性 (20.7%),剂量 (25.6%) 和最后服用时间 (24.5%) 中观察到显著的改善.
- 员工反表明,最初的不满源于过程复杂性,角色不清楚,时间负担和沟通缺口.
结论:
- 实施多学科方法和有针对性的教育可以加强ED中药物调和过程.
- 让整个护理团队参与进来对于提高员工满意度和患者安全结果至关重要.
- 尽管有学习曲线,但该干预措施对药物调和的关键方面产生了积极影响.
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