使用自来水来冲洗肠道管的水
1Marie-Eline Blondin is a clinical nurse III at Memorial Sloan Kettering Cancer Center in New York City. Contact author: blondinm@mskcc.org. The author has disclosed no potential conflicts of interest, financial or otherwise.
使用自来水冲洗肠道养管与无菌水一样有效. 这项质量改进计划规范了实践,提高了患者安全,并大大降低了机构成本.
科学领域:
- 改善临床实践的改善
- 减少医疗保健成本 降低医疗保健成本
- 营养支持中的患者安全
背景情况:
- 肠道食管需要定期冲洗,以保持营养和药物输送的通透性.
- 用于冲洗肠道料管的水类型对疗效,安全性和成本都有影响.
- 需要基于证据的指导方针来确定管冲洗的最佳水源.
研究的目的:
- 评估证据支持使用自来水与无菌水用于肠管冲洗.
- 实施自来水作为瘤学环境中无菌水的安全和经济有效的替代品.
- 为了规范临床实践,关于肠道食管的维护.
主要方法:
- 在多个电子数据库 (Scopus,PubMed,CINAHL,Google Scholar,Embase,JBI) 进行系统的文献搜索.
- 审查机构政策和专业组织关于肠道管道用水的建议.
- 对护士工作人员进行的关于管冲洗现行做法的调查.
主要成果:
- 文献审查和护士调查表明,自来水对肠道管冲洗同无菌水一样有效.
- 机构政策更新,建议自来水,为特定的安全问题保留无菌水.
- 预计每年节省的成本从15,930美元到19,872美元之间被确定.
结论:
- 实施自来水政策,为整个机构的内腔管冲洗提供标准化的护理.
- 这一政策的改变成功地降低了机构成本,而不会影响患者的安全.
- 这一举措证明了营养支持的成功质量改进项目.
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