养希望:一个质量改善倡议,以改善对粮食不安全的识别
Nicole Misner1, Patoula Panagos-Billiris1, Michelle Yavelow1
1Morsani College of Medicine, University of South Florida, Tampa, Florida, USA.
Journal of pediatric gastroenterology and nutrition
|February 11, 2025
概括
在儿科胃肠道诊所实施标准化食品不安全 (FI) 查显著改善了患者识别和资源连接. 质量改进计划实现了90%的选合规性,并将资源连接增加到75%.
科学领域:
- 儿科胃肠病学 儿科胃肠病学
- 公共卫生 公共卫生
- 提高质量 提高科学 提高质量
背景情况:
- 粮食不安全 (FI) 影响了美国所有社区,在医疗保健机构中构成了重大挑战.
- 儿科胃肠道 (GI) 诊所服务于脆弱人群,FI查对于综合护理至关重要.
研究的目的:
- 在一年内,在儿科胃肠道诊所实现超过90%的FI查.
- 在后续访问中,将与资源连接的FI确定的家庭比例提高50%.
主要方法:
- 利用计划-做-研究-行动周期来实施干预,包括教育,过程创建,EMR优化和资源连接.
- 使用描述性统计数据分析和曼·惠特尼/奇2测试来比较群体.
- 使用QIMacros®软件生成流程控制图表以监控改进.
主要成果:
- 选合规性达到90%,超过了最初的目标.
- 在查的患者中,13%的FI检测呈阳性.
- 与资源的连接得到了显著改善,达到75%,超过了目标.
- 种族,种族,首选语言和保险状况与FI有显著的关联 (p < 0.001).
结论:
- 在儿科胃肠道环境中进行标准化的FI查有效地提高了受影响家庭的识别.
- 质量改进计划成功提高了FI选率和连接至关重要的资源.
- 解决种族,种族,语言和保险等社会经济因素对于有效的FI干预至关重要.
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