通过小儿预麻醉呼吸风险培训提高外科手术效率
Jamie L Reddinger1, Jennifer Dickman1, Slava Martyn1
1Department of Anesthesiology, Children's Hospital of Pittsburgh of UPMC, Pittsburgh, PA.
概括
注册护士 (RN) 通过基于证据的干预改善了儿童呼吸系统疾病的早期识别,减少了手术取消的一天. 这种加强的手术前评估使人们对咨询协议的信心增加,并提高了术后效率.
科学领域:
- 在外科手术期间的医学.
- 医疗保健中的流程改进
- 儿科麻醉 儿科麻醉
背景情况:
- 在注册护士 (RN) 对儿科上呼吸道感染 (URI) 症状的评估中,在手术前的电话中的主观性会导致手术当天 (DOS) 的取消.
- 早期发现呼吸道疾病对于提高外科手术期间效率和提高患者满意度至关重要.
研究的目的:
- 实施一套基于证据的干预措施,以加强RN预麻醉电话采访.
- 减少RN主观性在确定儿科URI症状,从而减少DOS取消.
主要方法:
- 使用基于证据的过程改进与预测后测试设计.
- 注册护士 (RN) 完成了一个关于儿科麻醉前呼吸风险的电子学习模块.
- 实施了儿科URI算法 (COLDS评分) 和标准化咨询卡 (情况背景评估建议).
主要成果:
- 在干预后,RN对承认需要麻醉师咨询的信心增加到92%.
- 由于患者疾病而取消的手术日 (DOS) 取消率下降了10% (2021) 和7% (2022).
- 在手术前通过电话识别的患者疾病取消率增加了10% (2021年) 和7% (2022年),这表明早期检测.
结论:
- 实施的电子学习模块和协议显著提高了RN在管理儿科呼吸风险方面的信心.
- 过程改进成功地减少了手术取消的一天,并提高了整体外科手术效率.
- 通过手术前的电话预先识别疾病是优化手术室利用率和患者体验的首选策略.
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