在全身麻醉的儿科患者中核心温度的文档化:一个质量改进倡议,以提高合规性
Alexandra C Cates1, Bradley J Curtis1, Christy J Crockett1
1Department of Anesthesiology, Monroe Carell Jr. Children's Hospital at Vanderbilt, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Paediatric anaesthesia
|March 20, 2025
概括
这项质量改善计划成功地将儿科牙科手术患者的核心温度监测记录从10%提高到90%. 这通过在全身麻醉期间解决外科手术期间的低温风险来提高患者的安全性.
科学领域:
- 麻醉学 麻醉学
- 儿科手术 儿科手术
- 提高质量 提高科学 提高质量
背景情况:
- 儿童患者在麻醉期间容易受到热损失,这是由于温度调节抑制.
- 在外科手术期间的低温带来风险,需要监测儿科手术患者的核心温度.
- 实施了一项质量改进计划,以改善核心温度监测文档.
研究的目的:
- 增加在牙科手术室接受全身麻醉的儿科患者中记录的核心温度监测.
- 到2023年10月,实现60%的核心温度记录监测目标.
主要方法:
- 使用改善模型框架与计划-做-研究-行动周期.
- 实施的干预措施包括教育电子邮件,标牌,发病率和死亡率会议以及电子健康记录弹出提醒.
- 专注于在牙科手术室接受全身麻醉超过一个小时的儿科患者.
主要成果:
- 到2023年10月,记录的核心温度监测从10%增加到60%.
- 到2024年1月,进一步提高到90%的合规性.
- 成功实现并超过了质量改善倡议的目标.
结论:
- 质量改进倡议有效提高了对核心温度监测指南的遵守.
- 到2024年1月,为符合条件的儿科患者实现90%的核心温度记录监测率.
- 证明了成功实施的干预措施,以提高儿童麻醉期间的患者安全.
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