COVID-19 流行病增加了护理敏感质量指标
Nursing research
|August 20, 2024
概括
在大流行期间,护理敏感指标 (NSI) 恶化,跌倒,CLABSI,CAUTI,HAPI和VAE的数量显著增加. 虽然利率正在下降,但到2022年,它们还没有恢复到大流行前的水平.
科学领域:
- 医疗保健的质量 医疗保健的质量
- 护理研究 护理研究
- 患者安全 患者安全
背景情况:
- 随着COVID-19的流行,护理工作人员面临着严重的压力.
- 这种压力可能影响了护理敏感的质量指标 (NSI),这些指标反映了由于护理而导致的患者健康状况变化.
研究的目的:
- 评估NSI是否在大流行期间恶化.
- 确定这些指标在2019年至2022年之间是否恢复到大流行前的水平.
主要方法:
- 一项横截面描述性研究分析了2019-2022年五个NSI的年度趋势.
- 来自护理质量指标国家数据库 (NDNQI) 的数据包括跌倒率,CLABSI,CAUTI,HAPI和VAE.
- 对2019年成年人医疗外科和重症监护单位的差异分析与随后几年的比率进行比较.
主要成果:
- 从2020年开始,所有五个NSI都显著增加.
- 2020年 (下降) 和2021年 (其他指标) 观察到的最高率,增幅从12% (CAUTI) 到49% (CLABSI).
- 利率开始下降,但到2022年还没有恢复到2019年的基线水平.
结论:
- 在大流行期间,NSI恶化了,并且正在慢慢恢复到基线.
- 疫情凸显了护理实践在患者安全方面的关键作用.
- 解决疫情对护士的影响对于维持患者安全标准至关重要.
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