儿科高级复杂内镜团队提高了内镜质量和提供者的满意度
Monique T Barakat1,2, Dorsey Bass2, Alka Goyal2
1Department of Internal Medicine, Division of Gastroenterology and Hepatology, Stanford University School of Medicine, Stanford, California, USA.
Journal of pediatric gastroenterology and nutrition
|July 29, 2024
概括
实施先进复杂内镜 (ACE) 团队改善了儿科内镜结果和提供者满意度. 该ACE团队提高了静血质量,增加了手术量,并扩大了儿童的治疗干预措施.
科学领域:
- 儿科胃肠病学 儿科胃肠病学
- 内镜手术 进行内镜手术
- 改善医疗保健质量 改善医疗保健质量
背景情况:
- 治疗性内镜手术对于儿科护理越来越重要.
- 儿科胃肠科医生通常在复杂的内镜血静症方面受过有限的培训.
- 一个先进的复杂内镜 (ACE) 团队被实施,以提供24/7的支持.
研究的目的:
- 评估ACE团队对儿科内镜质量和提供者经验的影响.
- 评估ACE实施后血液静止质量指标的变化.
- 为了衡量提供者的满意度和对ACE团队的看法.
主要方法:
- 在 (2018-2020年) 之前和 (2020-2021年) 实施 ACE 团队之后,对血静质结果的比较分析.
- 通过实施前后的调查来评估供应商的满意度和前景.
- 分析包括内镜体积,延迟,再干预率和静血疗法的多样性.
主要成果:
- 血液静止质量指标显著改善,包括降低延迟和重新干预率 (p<0.05).
- 增加内镜体积和多式静血疗法的更广泛应用.
- 提供者满意度高 (85%非常满意) 和对住院和门诊护理的积极影响.
- 在ACE实施后对内镜手术的提供者焦虑减少 (62%对28%).
结论:
- 通过ACE团队的实施,血液静止质量参数得到了提高,手术量增加.
- 该ACE团队对提供者的观点产生了积极影响,并减少了与内镜相关的焦虑.
- ACE的实施扩大了静血干预的范围,对儿科患者的护理有好处.
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