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实施标准化问卷,用于记录儿科患者手术前的呼吸道疾病
Abby Victoria Winterberg1,2, Stacie Richmond3, Nathaniel T G Tighe3,4
1Anesthesiology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA abby.v.hess@gmail.com.
BMJ open quality
|October 18, 2024
概括
一个新的问卷改善了手术前儿童呼吸系统疾病的记录. 这项质量改进计划成功降低了与外科手术期间呼吸道并发症相关的风险.
科学领域:
- 麻醉学 麻醉学
- 儿科手术 儿科手术
- 提高质量 提高质量
背景情况:
- 儿科患者在手术前经常表现出呼吸系统疾病症状.
- 外科手术期间的呼吸道并发症因儿童当前或最近的疾病而加剧.
- 缺乏一个标准化的程序来记录手术前的呼吸系统疾病.
研究的目的:
- 为了减少儿科外科手术期间的呼吸系统不良事件.
- 实施标准化流程,记录手术前的呼吸道疾病.
- 为了提高患者在术后期的安全性.
主要方法:
- 启动了一项质量改善倡议.
- 开发并实施了一份标准化的手术前疾病问卷.
- 该干预措施被整合到护士的常规工作流程中,后来被电子化采用.
主要成果:
- 手术前呼吸道疾病的标准化文档从0%增加到95%.
- 护士们迅速采用了新的问卷和工作流程.
- 该干预措施在多个手术室地点成功实施.
结论:
- 术前呼吸道疾病的标准化文档是可以实现和有效的.
- 实施手术前疾病问卷提高了患者的安全性.
- 需要进一步标准化手术前的过程,以充分解决外科手术期间的呼吸道并发症.
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