在初级保健儿科实践中改善枪支查和安全储存咨询
Crystal N Craig1, Cynthia M Rand1, Constance D Baldwin1
1Department of Pediatrics, Golisano Children's Hospital, University of Rochester School of Medicine and Dentistry, Rochester, NY, USA.
Clinical pediatrics
|December 25, 2024
概括
这项质量改进研究增强了针对儿童的枪支安全咨询. 实施提供者教育和更新的诊所模板在预防性访问期间显著增加了查率.
科学领域:
- 儿科 儿科 儿科
- 公共卫生 公共卫生
- 提高质量 提高科学 提高质量
背景情况:
- 枪支伤害是儿童死亡的主要原因.
- 预防性护理访问为关键的枪支安全查和咨询提供了机会.
- 在儿科护理中,目前针对枪支风险的查率往往低于最佳水平.
研究的目的:
- 实施质量改善倡议,以提高枪支查和安全咨询率.
- 在10个月内,为4-18岁的儿童增加25%的枪支查和咨询服务.
- 提高提供者在讨论枪支安全和使用安全装置时的信心.
主要方法:
- 一个计划-做-研究-行动 (PDSA) 质量改善研究进行了10个月.
- 干预措施包括提供者对最佳实践的教育,电子健康记录模板的修订和护理人员资源的分配.
- 在每个PDSA周期前后跟踪枪支查率.
主要成果:
- 基线枪支查率为38%.
- 在干预后,查率增加到95%.
- 修改临床笔记模板显示对查率的影响最大.
结论:
- 质量改进干预成功提高了儿童预防性诊所的枪支查和安全咨询率.
- 提供者教育和优化临床工作流程是提高枪支安全实践的有效策略.
- 这项QI研究强调了将枪支安全纳入常规儿科护理的重要性.
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