在儿科风湿病诊所实施自动化过渡准备评估
Melissa Argraves1, Elizabeth Murray1,2, Alysha Taxter1,3
1Division of Pediatric Rheumatology, Nationwide Children's Hospital, Columbus, OH, United States.
Frontiers in pediatrics
|November 1, 2024
概括
质量改进和临床信息学改善了对患有风湿性疾病的年轻人的过渡准备评估. 自动化将患者调查完成率提高到90%以上,确定了更好的护理过渡的关键自我管理需求.
科学领域:
- 儿科风湿病学 儿科风湿病学
- 医疗信息学 医疗信息学
- 提高质量 提高科学 提高质量
背景情况:
- 让患有慢性风湿性疾病的青少年和年轻人过渡到成人护理对于健康结果至关重要.
- 在儿科风湿病学中,有效的护理过渡是复杂和具有挑战性的.
- 质量改进 (QI) 和临床信息学 (CI) 提供了增强过渡计划的策略.
研究的目的:
- 改善和维持儿童类风湿病患者的过渡准备评估.
- 在一年内将过渡准备评估率从基线的12%提高到30%.
- 利用QI和CI进行增强的患者调查和数据收集.
主要方法:
- 一个QI团队使用了卫生保健改进研究所 (IHI) 的方法和CI工具.
- 患者调查自动化,用于定期安排的诊所访问.
- 月度控制图表追踪了调查完成率;描述性统计分析了响应.
主要成果:
- 调查完成率从12%增加到90%以上,持续了18个月.
- 由1,158个独特的患者填写了1,265个问卷.
- 识别的教育差距包括医疗保险,预约安排和药物补充.
结论:
- QI和CI成功地将过渡准备评估提高到90%以上.
- 过程自动化是建立可持续转型实践的关键.
- 这种方法确定了年轻患者的关键自我管理差距.
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