一个质量改进项目,以利用儿科早期预警系统促进跨学科沟通
Jan Fune1, Angie Buttigieg1, Srividya Bhadriraju2
1From the Department of Pediatrics, Icahn School of Medicine at Mount Sinai, New York, N.Y.
通过教育和算法改进,改善儿科早期预警系统 (PEWS) 显著增加了对有风险儿童的跨学科床边聚集的记录. 这个质量改进项目在四个月内实现了100%的文档.
科学领域:
- 提高儿童医疗保健质量 提高儿童医疗保健质量
- 临床沟通策略 临床沟通策略
- 患者安全系统患者安全系统
背景情况:
- 医疗保健专业人员最初缺乏对儿科早期预警系统 (PEWS) 的认识和知识.
- 对于临界评分患者的跨学科床边聚会很少进行,而且缺乏文档.
- 具有关键评分的患者在没有适当的评估文件的情况下面临更高的临床恶化风险.
研究的目的:
- 增加记录的跨学科床边聚会的平均率,为儿科患者的临界分数.
- 提高儿科早期预警系统 (PEWS) 的利用率和有效性.
- 加强高风险儿科患者的沟通和文档.
主要方法:
- 在一个儿科医院单位试行了一项质量改进项目.
- 干预措施包括医生和护士教育,算法改进,并促进对PEWS的共同理解.
- 主要结局指标是临界分数患者记录的聚集笔记的百分比.
主要成果:
- 记录的聚集的平均基线率为0%.
- 四个月后,记录的聚集的平均率增加到100%.
- 这一增长与教育干预和评分算法改进有关.
结论:
- 多模式干预有效地增加了已记录的群体,增强了PEWS的实施.
- 算法调整和个性化的教育促进了医生和护士对PEWS的支持.
- 学习的经验可以指导其他机构实施PEWS并促进跨学科沟通.
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