加强可靠性和可持续性:将行业内部培训 (TWI) 整合到质量改善协作中
Paulo Borem1, Rafaela Moraes de Moura2, Helena Barreto Dos Santos3
1Institute for Healthcare Improvement, Boston, MA, USA.
Global journal on quality and safety in healthcare
|February 12, 2025
概括
职业指导 (JI) 培训是行业内培训 (TWI) 的一个组成部分,有效地减少了巴西ICU的医疗保健相关感染 (HAI). 这项质量改进倡议提高了护理包的可靠性和患者安全.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 医疗保健中的流程管理
- 患者安全倡议 患者安全倡议
背景情况:
- 产业内培训 (TWI) 工具在医疗保健方面表现有前途,但工作指令 (JI) 应用需要进一步研究.
- 本研究探讨了在中等收入国家的突破系列合作 (BTS) 中的联合创新实施.
研究的目的:
- 评估将工作指导 (JI) 整合到全国范围的倡议中,以减少与医疗相关的感染 (HAI).
- 提高护理包的可靠性,并赋予前线团队减少重症监护室 (ICU) 的变化.
主要方法:
- 工作指令 (JI) 在巴西189个公共ICU的全国性倡议中部署,以减少中央线路相关的血液感染 (CLABSI),呼吸机相关的肺炎 (VAP) 和导管相关的尿路感染 (CAUTI).
- 针对领导者的结构化JI培训促进了JI和视觉管理技术在日常ICU护理中的采用.
- 详细介绍了JI培训的四个阶段及其与BTS框架的整合.
主要成果:
- 预防包的平均遵守率超过了90%.
- 在HAI中实现了显著的减少:CLABSI的44%,VAP的52%,CAUTI的54%.
- 联合创业实施与改善护理捆绑遵守和减少HAI有关.
结论:
- 工作指令 (JI) 可以无地整合到常规质量改进 (QI) 活动中.
- 这种整合促进了护理捆绑执行的一致性,有效地预防HAI并加强了患者的安全.
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