在急性精神卫生环境中交付NCHD:一个质量改善倡议,实施电子交付工具
Stelios Naxakis1,2, Megan Wafer2, Syeda Gardezi2
1Psychiatry, University College Cork, Cork, Ireland Steliosnaxakis@gmail.com.
BMJ open quality
|January 6, 2025
概括
在急性精神卫生部门 (AMHU) 实施电子交付工具标准化实践,改善非咨询医院医生 (NCHD) 之间的患者护理和沟通. 持续的培训是持续成功的关键.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 临床沟通策略 临床沟通策略
- 医疗信息学 医疗信息学
背景情况:
- 科克大学医院急性精神卫生部门 (AMHU) 由于依赖非正式方法,面临不一致的患者交接流程.
- 这使得2019年之前的信息丢失和受损患者护理的风险增加.
- 启动了一项质量改进计划,使用电子工具和ISBAR协议标准化交付.
研究的目的:
- 为了在AMHU标准化交付实践.
- 提高临床信息记录的准确性和患者安全.
- 通过电子工具提高透明度,问责制,并衡量交付质量.
主要方法:
- 一个计划-做-研究-行动 (PDSA) 模型指导了该倡议,从与ISBAR.相一致的电子交付工具开始.
- 随后的PDSA周期涉及政策实施和教育干预.
- 专注于加强工具使用和遵守通信标准.
主要成果:
- 电子交付工具带来了对推标准的更严格遵守,并提高了利用率.
- 有针对性的教育干预措施显著改善了交付入口的全面性和标准化.
- 医院非顾问医生 (NCHD) 之间的沟通和信息传输的改善提高了护理连续性和患者安全.
结论:
- 质量改进计划成功标准化了交付流程,并改善了AMHU中的NCHD通信.
- 保持有效性需要持续的培训,反和工具改进.
- 未来的方向包括探索进一步的技术解决方案,培养有效沟通的文化.
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