紧急医疗调度中心对护士的持续个人反:一个分步,中断的时间序列分析
Douglas Nils Spangler1, Hans Blomberg2
1Uppsala Center for Prehospital Research, Institute of Surgical Sciences, Uppsala University, Uppsala, Sweden dnspangler@gmail.com.
为紧急医疗调度护士提供每月绩效报告,提高了文档质量. 虽然直接护理结果显示效果较弱,但干预影响了提供者的行为,并可能鼓励更高的患者优先级. 为了显著改善结果,需要进一步的多方面的干预措施.
科学领域:
- 紧急医疗服务 紧急医疗服务
- 改善医疗保健质量 改善医疗保健质量
- 医院前护理信息学
背景情况:
- 在医院前护理中,临床反很少,这限制了提供者对绩效的认识.
- 绩效数据通常可供领导使用,但不能直接提供给护理提供者.
- 本研究探讨了为紧急医疗调度护士提供定期反报告的影响.
研究的目的:
- 调查每月电子邮件反报告对紧急医疗派遣护士的影响.
- 评估对流程措施的影响,例如发送时间和文档完整性.
- 评估结果指标的变化,包括分拣准确度.
主要方法:
- 为了在瑞典三个地区实施反干预,采用了阶梯式形设计.
- 个性化报告包括描述性,流程和结果类别的14项措施.
- 基于等级回归的中断时间序列分析评估了干预的影响.
主要成果:
- 干预导致完整文档 (7.5%) 和记录联系原因 (3.8%) 的显著增加.
- 这些过程措施的改进在干预后得到了持续.
- 结果措施显示影响较弱,可能是由于紧急调度优先级的整体增加.
结论:
- 提供性能数据可以积极影响提供商对可控制过程指标的行为.
- 反干预可能会鼓励护士升级患者优先级.
- 提高结果指标可能需要更加密集和多方面的干预措施.
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