行为经济策略在儿童麻醉中增加了不良事件报告率
Tiffany K Guan1, Brittany L Willer2,3, Jack Stevens4,5
1College of Medicine, The Ohio State University, Columbus, OH, USA.
ClinicoEconomics and outcomes research : CEOR
|December 13, 2024
概括
实施简单的电子医疗记录修改显著改善了麻醉护理中严重不良事件 (SAE) 的报告. 这种增强有助于在术后环境中识别患者安全改善.
科学领域:
- 麻醉学 麻醉学
- 患者安全 患者安全
- 医疗信息学 医疗信息学
背景情况:
- 准确识别和报告严重不良事件 (SAE) 对于加强外科手术期间的患者护理至关重要.
- 严重事故报告不足,通常是由于依赖自我报告,阻碍了对事件发生率的准确评估.
- 电子医疗记录 (EMR),特别是麻醉信息管理系统 (AIMS),为改善报告提供了一个潜在的解决方案.
研究的目的:
- 评估基于行为经济的干预措施对麻醉护理中SAE报告率的影响.
- 评估修改EMR系统以增加SAE报告的有效性.
- 为了确定简单,低影响的干预措施是否可以改善在外科外科设置中显著事件的识别.
主要方法:
- 这项研究遵循了卫生保健改进研究所的改进模型.
- 实施了基于行为经济的干预措施,包括EMR系统中的强制性"硬停止".
- 麻醉科医生被要求在关闭患者接触之前报告"显著事件"的发生或不存在.
主要成果:
- 在基线时,只有53%的SAE是自我报告的.
- 在干预后,SES的自我报告率增加到75%以上.
- 这意味着高价值企业报告的相对增加了42%.
结论:
- 对EMR系统的简单修改可以显著增加对SAE的报告.
- 这些干预措施以有限的财务影响和最小的工作流中断来实施.
- 改进的报告有助于更好地识别术后患者护理需要改进的领域.
相关概念视频
Types of Reports II: Incident or Occurrence Report
800
An Incident or Occurrence Report in a healthcare setting is a crucial document used to record any unexpected occurrence that may or may not have affected a patient, employee, or visitor. Such reports are critical to improving patient safety and include all details leading up to and including the event.
Purposes:
In the healthcare industry, reports play a crucial role in documenting incidents within an agency. The primary objective of these reports is to ensure patient safety, uphold the...
Purposes:
In the healthcare industry, reports play a crucial role in documenting incidents within an agency. The primary objective of these reports is to ensure patient safety, uphold the...
800
Types of Reports III: Telephone and Verbal Reports
720
Telephone and Verbal Reports in healthcare settings are two communication methods for conveying therapeutic instructions from healthcare providers to nurses or other healthcare staff.
Here's an overview of each type:
Telephone Orders
Here's an overview of each type:
Telephone Orders
720
Healthcare Associated Infections II: Preventive Measures
2.5K
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
2.5K
SBAR II: Application of SBAR
4.3K
SBAR is an effective communication tool used by healthcare professionals to communicate patient information accurately. SBAR stands for Situation, Background, Assessment, and Recommendation. For a better understanding, an example is given below.
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
4.3K
Behavior Modification
125
Behavioral approaches have often been criticized for ignoring mental processes and focusing solely on observable behavior. However, these approaches provide an optimistic perspective for individuals seeking to change their behaviors. Rather than concentrating on intrinsic personality traits, behavioral approaches suggest that even longstanding habits can be modified by changing the reward contingencies that maintain them.
A real-world application of operant conditioning principles is applied...
A real-world application of operant conditioning principles is applied...
125
Operant Conditioning Intervention
43
Operant conditioning serves as a foundational principle in therapeutic interventions aimed at modifying maladaptive behaviors. Central to this approach is the notion that behaviors, both adaptive and maladaptive, are learned through reinforcement. By analyzing the environmental factors that reinforce problematic behaviors, clinicians can design interventions to weaken these reinforcements and replace maladaptive behaviors with healthier alternatives.
In operant conditioning, behaviors that are...
In operant conditioning, behaviors that are...
43


