通过在电子医疗记录中的护理检查清单来改善以家庭为中心的轮次
Gayatri Boddupalli Madduri1,2, Tristan Nichols1,2, Fatma Gunturkun3
1Department of Pediatrics.
Hospital pediatrics
|October 25, 2024
概括
实施电子健康记录检查清单改善了儿童医院医学中的以家庭为中心的轮次 (FCR),确保了英语或其他语言偏好的家庭的公平参与.
科学领域:
- 儿科医院医学 儿科医院医学
- 质量改善举措 质量改善举措
- 医疗保健的沟通 医疗保健的沟通
背景情况:
- 以家庭为中心的回合 (FCR) 是标准的儿科沟通.
- 存在实施挑战,特别是对于英语以外的语言 (LOE) 的家庭.
- 之前的FCR率为33%.
研究的目的:
- 在一年内将FRC从33%提高到80%.
- 与英语偏好 (EP) 相比,为患有LOE的家庭确保公平的FCR.
主要方法:
- 实施电子医疗记录 (EHR) -FCR检查清单,员工教育,视觉提示和口译员.
- 测量每周%的FCR和护理文档.
- 用费舍尔的精确测试和控制图表比较LOE与EP家庭的FCR率.
主要成果:
- 在干预期间,FCR增加到81%,在持续期间下降到73%.
- 通过EHR-FCR检查清单,护理文档达到93%.
- 在干预期间,LOE与EP家庭的FCR没有统计差异 (84%与81%);在持续期间,LOE参与率更高 (87%与72%).
结论:
- 在社区儿科医院医疗服务中,记录的FCR增加了.
- 实施包括护理完成的EHR-FCR检查清单,教育,提示和口译员.
- 在LOE的家庭中,实现了公平的FRC.
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