无纸化:使用电子问卷提高健康儿童检查质量
Brian T Ketterman1, Kathryn L Carlson2, Merrill Stoppelbein2
1Department of Pediatrics, Monroe Carell Jr. Children's Hospital at Vanderbilt.
Pediatrics
|November 7, 2024
概括
实施电子问卷显著改善了健康儿童检查 (WCC),完成率从45.6%增加到84.7%. 这项质量改善倡议也促进了向社区资源的转介,尽管语言差异仍然存在.
科学领域:
- 主要护理 儿科医生 小儿科
- 提高质量 提高科学 提高质量
- 医疗信息学 医疗信息学
背景情况:
- 儿童健康检查 (WCC) 对于监测儿童发育和遵守明亮未来/美国儿科学会等既定指南至关重要.
- 我们的大型大学附属诊所目前的WCC完成率低于最佳,为45.6%,需要采取质量改进计划.
- 确保WCC在不同语言群体中提供公平的质量,并增加社区资源推是次要目标.
研究的目的:
- 提高健康儿童检查 (WCC) 的质量,到2024年4月将完成WCC的比例提高到80%.
- 改善世卫组织诊所服务的所有语言群体的WCC结果.
- 增加向社区营养和识字合作伙伴的转介.
主要方法:
- 一个多学科团队领导了一项质量改进项目,重点是从纸质查问卷过渡到电子查问卷.
- 开发了新的诊所流程,以支持家庭填写电子问卷.
- 统计过程控制图表被用于分析主要结果指标:由记录的患者报告元素定义的完整WCC的百分比.
主要成果:
- 从2022年7月到2024年4月对51,809个WCC的审查显示,完整的WCC从45.6%提高到84.7%.
- 在WCC的所有测量方面都观察到显著的改善,包括7个常见的儿科问卷和7个例行评估.
- 转介到社区营养和识字资源的数量增加,但在非英语患者中,WCC完成率的差异仍然存在.
结论:
- 转向电子问卷和修订的临床程序成功提高了WCC的全面性和社区资源联系.
- 虽然所有语言群体的质量都有所改善,但持续存在的差异凸显了持续针对性的干预措施的必要性.
- 该项目展示了健康信息学在改善初级保健质量和患者结果方面的有效性.
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