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Murine Ileocolic Bowel Resection with Primary Anastomosis
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伊利奥科里克内肠:代质量改进以解决一个反复出现的问题.
William Johnston1, Allison Mak Croughan2, Rosa Hwang2
1Department of General, Thoracic, and Fetal Surgery, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania; Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania.
一项针对儿科静脉吸收治疗的质量改善计划显著增加了急诊室的出院率,并降低了成本. 该计划简化了护理,改善了患者体验和医院效率.
科学领域:
- 儿科胃肠病学 儿科胃肠病学
- 提高质量 提高科学 提高质量
- 紧急医疗 紧急医疗
背景情况:
- 儿科伊利奥科里克内肠置管理已经看到质量改进 (QI) 的举措.
- 之前的QI努力表明,在光缩小后,急诊室 (ED) 放出安全.
- 这些举措提高了患者体验,降低了医疗保健成本.
研究的目的:
- 在一个机构中开发和实施一项针对儿科大脑内吸收的QI倡议.
- 将从卫星校园转移的患者纳入QI途径.
- 通过不断的数据重新评估,代地改善治疗途径.
主要方法:
- 成立了一个多学科的团队,以创建一个开放的临床途径.
- 为参与的部门实施了教育计划.
- 进行了前性数据跟踪和流程调整,比较了倡议前和倡议后的处理.
主要成果:
- 经纪处的免责率大幅上升,从2.6%上升到59% (P < 0.001).
- 医院出院的平均时间从40.7小时减少到23.1小时 (P = 0.002).
- 平均访问费用下降了30% (P = 0.012),而再接收率没有变化.
结论:
- 一个连续数据驱动的QI程序,用于光学降低内受成功实施.
- 该协议导致了入院率和整体医院成本的降低.
- 该倡议减少了儿科患者出院的时间.
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