针对新生儿的家庭鼻胃管护理的多机构质量改进算法
Margaret B Mitchell1, Kevin Callans2, Carmina Erdei3
1Department of Otolaryngology-Head & Neck Surgery, Massachusetts Eye & Ear, Boston, MA, USA; Harvard Medical School, Boston, MA, USA.
International journal of pediatric otorhinolaryngology
|September 1, 2024
概括
一个新的计划使高风险的新生儿能够通过鼻胃管 (NGT) 养回家,为长时间住院或胃口管提供了替代方案. 这种标准化,跨学科的途径旨在提前出院,改善患者和家庭的结果.
科学领域:
- 新生儿护理 新生儿护理
- 儿科胃肠病学 儿科胃肠病学
- 医疗途径发展发展
背景情况:
- 需要肠道营养的高风险新生儿往往面临长时间的NICU住院或胃口管放置放出.
- 开发了一种家庭鼻胃管 (NGT) 食排泄的替代途径.
研究的目的:
- 开发一个跨机构和跨学科的途径,以优化NGT释放的新生儿的结果.
- 支持医疗稳定的新生儿早期出院,需要持续的肠道营养.
主要方法:
- 根据四家医院的多学科反 (家长,护士,SLP,耳鼻喉科医生,重症治疗师) 创建了一个"护照家庭计划".
- 制定了关于NGT替代和确认的标准化教育材料和基于能力的培训.
- 建立了急诊室工作人员培训和专门的门诊多学科诊所随访.
主要成果:
- 护理人员接受全面培训,包括NGT替代和pH测试.
- 提供了带有教育资源和支持联系人的排放套件.
- 通过训练有素的急救人员和专门的诊所提供24 / 7支持.
结论:
- 这一跨学科,多机构的努力标准化了新生儿NGT排放途径.
- 该计划有可能促进更早的出院,改善患者/家庭的结果,并降低医疗保健成本.
- 这种最佳实践算法可以作为其他医学领域的模型.
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