干预措施是为了增加对住院老年人的先进护理规划文件的使用
Laura E Walker1, Anne Liwonjo2, Deepi G Goyal3
1Emergency Medicine, Mayo Clinic, Rochester, Minnesota, USA walker.laura@mayo.edu.
BMJ open quality
|January 6, 2025
概括
一种结构化的方法改善了住院患者的预先护理规划文件. 识别高风险个体和使用每日聚集增加了超过80%的记录率,使护理与患者偏好保持一致.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 患者为中心的护理
- 老年医学 老年医学
背景情况:
- 在住院期间记录患者的愿望和偏好对于优质护理至关重要.
- 在记录预先指示和患者偏好方面存在差距,影响了护理讨论的目标.
研究的目的:
- 将住院患者的预先护理计划笔记的文档化率提高到80%.
主要方法:
- 在两个社区医院使用了"计划-做-措施-行动"循环.
- 干预措施包括"惊喜问题",并强调提前护理计划说明文档.
- 一个结构化的方法确定了高风险患者 (老年人风险评估得分≥16) 针对性文档.
主要成果:
- 基线文档在10%以下.
- 针对高风险患者实现了80%以上的文档.
- 在随后的几年中,持续改善业绩.
结论:
- 使用每日多学科聚合的结构化,有针对性的方法显著改善了预先护理规划文档.
- 这种方法确保了持续的改善,并促进了与个人价值观和偏好一致的患者护理.
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